| Agnescare Service Solutions, Inc | |
|
7777 Leesburg Pike # 304 Falls Church VA 22043-2411 | |
| (708) 497-0734 | |
| Not Available |
| Full Name | Agnescare Service Solutions, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7777 Leesburg Pike # 304, Falls Church, Virginia |
| Authorized Official Name and Position | Stecy Ola (CEO) |
| Authorized Official Contact | 7084970734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agnescare Service Solutions, Inc 2728 John Mills Rd Adamstown MD 21710-8930 Ph: (708) 497-0734 | Agnescare Service Solutions, Inc 7777 Leesburg Pike # 304 Falls Church VA 22043-2411 Ph: (708) 497-0734 |
| NPI Number | 1104672666 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104672666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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