| NPI | 1003521378 |
|---|---|
| Doing Business As | VIDACARE LLC |
| Entity Type | Organization |
| Authorized Contact | LYMAN TERRY MADDOX CEO 202-412-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |