Golgota Health Services INC
Day Training, Developmentally Disabled Services in Annandale, VA. Organization (NPI-2).
NPI number1366043317
StatusActive
Last updated in NPPESNov 5, 2020
Details
- NPI
- 1366043317
- Entity type
- Organization (NPI-2)
- Legal business name
- Golgota Health Services INC
- Organization subpart
- No
- Enumeration date
- Nov 5, 2020
- Certification date
- Nov 5, 2020
- Last updated
- Nov 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
Other names
- Golgota Health Services INC (Doing Business As)
- Ceo (Doing Business As)
Practice location
4216 Evergreen Ln Ste 133Annandale, VA 22003-3256
Phone 443-286-9323
Mailing address
4216 Evergreen Ln Ste 133Annandale, VA 22003-3256
Phone 443-286-9323
Authorized official
Golgota Health Services INC
Ceo
4432869323
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