Pavilion Medical Home Care & Staffing, LLC

NPI #1376620120 in Annandale, Virginia

Provider Information

NPI Number
1376620120
Entity Type
Organization
Organization Name
Pavilion Medical Home Care & Staffing, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PAVILION MEDICAL HOME CARE & STAFFING, LLC
Primary Specialty
Home Health
Enumeration Date
Nov 1, 2006
Last Updated
Feb 22, 2012

Practice Location

Address
4115 ANNANDALE RD
Address 2
SUITE 202
ZIP Code
22003-2500
Phone
(703) 299-9898

Authorized Official

Name
MR. GIBSON IYEKE ERHUNMWUNSE, CRNP
Title
CEO
Phone
(703) 299-9898

Specialties & Taxonomy Codes

Specialty
Home Health

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