Organization
BENEDICTUS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAVID MORAN J.D. (CEO)
(703) 978-0453
Entity
Organization
Contact information
Practice address
5408 TRIPOLIS CT, BURKE, VA 22015-1968
(703) 978-0453
Mailing address
5408 TRIPOLIS CT, BURKE, VA 22015-1968
(703) 978-0453
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
07/23/2007
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