Healthcare Provider Details

I. General information

NPI: 1104767425
Provider Name (Legal Business Name): JESUS AND MARY CHURCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14970 POTOMAC HEIGHTS PL APT 113
WOODBRIDGE VA
22191-6261
US

IV. Provider business mailing address

14970 POTOMAC HEIGHTS PL APT 113
WOODBRIDGE VA
22191-6261
US

V. Phone/Fax

Practice location:
  • Phone: 929-410-5754
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SERGIO BOLANOS
Title or Position: CEO
Credential:
Phone: 929-410-5754