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1689490096
PROVIDERS INC LLC
WOODBRIDGE, VA
NPI
1689490096
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Entity Type
Organization
Authorized Contact
JATAI L JACKSON
CEO/Director
202-439-3667
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-12-02
Last Update Date
2024-12-02
Business Address
PROVIDERS INC LLC
15022 SUNNY RIDGE CT APT 203
WOODBRIDGE, VA 22191-3967
Phone number: 202-439-3667
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Mailing Address
PROVIDERS INC LLC
15022 SUNNY RIDGE CT APT 203
WOODBRIDGE, VA 22191-3967
Phone number: 202-439-3667
Copy
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