Healthcare Provider Details

I. General information

NPI: 1164764502
Provider Name (Legal Business Name): GLOBAL HEALTH CARE.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2013
Last Update Date: 03/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11164 WILLOW DR
BEALETON VA
22712-9321
US

IV. Provider business mailing address

11164 WILLOW DR
BEALETON VA
22712
US

V. Phone/Fax

Practice location:
  • Phone: 434-378-0160
  • Fax:
Mailing address:
  • Phone: 434-378-0160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateDC

VIII. Authorized Official

Name: ELVIS M
Title or Position: RN
Credential:
Phone: 202-345-8765