| Imperial Care, Llc | |
|
7001 Loisdale Rd Suite C-2nd Floor Springfield VA 22150-1904 | |
| (240) 604-1999 | |
| Not Available |
| Full Name | Imperial Care, Llc |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 7001 Loisdale Rd, Springfield, Virginia |
| Authorized Official Name and Position | Claude J Hendje (CEO) |
| Authorized Official Contact | 2406041999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Care, Llc 6564 Loisdale Ct Suite 600-d Springfield VA 22150-1827 Ph: () - | Imperial Care, Llc 7001 Loisdale Rd Suite C-2nd Floor Springfield VA 22150-1904 Ph: (240) 604-1999 |
| NPI Number | 1811358187 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 12/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811358187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2231 (Virginia) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | 2231 (Virginia) | Primary |
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