Organization
CUIDADO CASERO HOME CARE OF VIRGINIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE LOPEZ (VICE PRESIDENT OF FINANCE)
(817) 310-1100
Entity
Organization
Contact information
Practice address
4547 EMPIRE CT, FREDERICKSBURG, VA 22408-1949
(540) 898-2999
(540) 898-2929
Mailing address
1110 N CARROLL AVE, SOUTHLAKE, TX 76092-5306
(817) 310-1100
(817) 310-1197
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
05-301
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010130875
—
VA
Enumeration date
12/22/2005
Last updated
06/11/2020
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