Organization
PRN MEDICAL STAFFERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE ROYAL (ADMINISTRATOR)
(703) 680-8790
Entity
Organization
Contact information
Practice address
5409 MAPLEDALE PLZ, WOODBRIDGE, VA 22193-4526
(703) 670-8790
Mailing address
5409 MAPLEDALE PLZ, WOODBRIDGE, VA 22193-4526
(703) 670-8790
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-09524
HOME CARE ORGANIZATION
VA
Enumeration date
04/30/2008
Last updated
10/21/2008
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