Organization
DEDICATED CARE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS AMIBANG TANUE (CEO)
(301) 257-3504
Entity
Organization
Contact information
Practice address
5571 SAINT CHARLES DR, WOODBRIDGE, VA 22193-3537
(703) 745-7785
(571) 659-2453
Mailing address
5680 KING CENTRE DR, SUITE 600, ALEXANDRIA, VA 22315-5757
(703) 745-7785
(571) 659-2453
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-171568
VA
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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