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Organization

SANDALWOOD SKILLED NURSING HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESITA USITA (OWNER)
(571) 234-2009
Entity
Organization

Contact information

Practice address
11710 PLAZA AMERICA DR STE 2000, RESTON, VA 20190-4743
(571) 234-2008
Mailing address
11710 PLAZA AMERICA DR STE 2000, RESTON, VA 20190-4743
(571) 234-2008

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
12/17/2024
Last updated
01/16/2025
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