Organization
REGNAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANA AMA MAKU ODURO PMHNP-BC (ADMINISTRATOR)
(571) 400-2801
Entity
Organization
Contact information
Practice address
16508 BOBSTER CT, WOODBRIDGE, VA 22191-6316
(571) 400-2801
Mailing address
16508 BOBSTER CT, WOODBRIDGE, VA 22191-6316
(571) 400-2801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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