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Mazeno Health Care Services, LLC

In Home Supportive Care in Woodbridge, VA. Organization (NPI-2).

NPI number1841069481
StatusActive
Last updated in NPPESDec 22, 2023

Details

NPI
1841069481
Entity type
Organization (NPI-2)
Legal business name
Mazeno Health Care Services, LLC
Organization subpart
No
Enumeration date
Dec 22, 2023
Certification date
Dec 22, 2023
Last updated
Dec 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

15378 Bald Eagle Ln
Woodbridge, VA 22191-3739

Phone 470-861-3166

Mailing address

15378 Bald Eagle Ln
Woodbridge, VA 22191-3739

Phone 470-861-3166

Authorized official

Marther Azangue Eno
Program Administrator
4708613166

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