Organization
BELOVED1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EBERECHI CORNELIA EKECHUKWU (OWNER)
(703) 334-6621
Entity
Organization
Contact information
Practice address
15471 PAPILLON PL, WOODBRIDGE, VA 22193-3399
(703) 334-6621
(703) 334-6615
Mailing address
15471 PAPILLON PL, WOODBRIDGE, VA 22193-3399
(703) 334-6621
(703) 334-6615
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
06/08/2016
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