Organization
TENDER VESSEL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILOU GRAFILO GERERO (ADMINISTRATOR)
(803) 365-5208
Entity
Organization
Contact information
Practice address
7607 ROANOKE AVE, ANNANDALE, VA 22003-5446
(803) 365-5208
Mailing address
7607 ROANOKE AVE, ANNANDALE, VA 22003-5446
(803) 365-5208
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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