Organization
MALADOR HOME RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORTEH KOROMA (ADMINISTRATOR)
(571) 388-0317
Entity
Organization
Contact information
Practice address
2720 MYRTLEWOOD DR, DUMFRIES, VA 22026-4574
(571) 388-0317
Mailing address
2720 MYRTLEWOOD DR, DUMFRIES, VA 22026-4574
(571) 388-0317
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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