Healthcare Provider Details

I. General information

NPI: 1710144969
Provider Name (Legal Business Name): NURSES STATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 05/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 LITTLE FALLS ST SUITE 110
FALLS CHURCH VI
22046-4612
US

IV. Provider business mailing address

140 LITTLE FALLS ST SUITE 110
FALLS CHURCH VI
22046-4612
US

V. Phone/Fax

Practice location:
  • Phone: 703-241-0059
  • Fax: 703-241-0255
Mailing address:
  • Phone: 703-241-0059
  • Fax: 703-241-0255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number01025095170151993851
License Number StateVA

VIII. Authorized Official

Name: MRS. NORMA FAGRE CHAFLOQUE
Title or Position: PRESIDENT
Credential:
Phone: 703-241-0059