Vince Martin LLC

NPI #1063945889 in Stafford, Virginia

Provider Information

NPI Number: 1063945889
Entity Type: Organization
Organization Name: Vince Martin LLC
Primary Specialty: Respite Care
Enumeration Date: Apr 7, 2017
Last Updated: Apr 7, 2017

Practice Location

Address: 108 BRIDGEWOOD CT UNIT B
City: Stafford
State: Virginia
ZIP Code: 22554-7741
Phone: (540) 699-7225

Authorized Official

Name: VINCENT ANTHONY MARTIN JR., CNA
Title: HOME HEALTH AIDE PERSONAL CARE
Phone: (540) 699-7225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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