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FERNELLAS QUALITY CARE

Dietary & Nutritional Service Providers Nutritionist

Provider NPI: 1538583653

Organization Information:
Organization Name:  FERNELLAS QUALITY CARE
Organization is not Subpart
Authorized Official:  BERNADETTE  BENTA  CARE COORDINATION CONSULTANT  571-435-5032

Practice Location:
2300 24TH ROAD SOUTH #624  ARLINGTON, VA 22206 US
Tel: 571-435-5032  Fax: --

Business Mailing Address:
2300 24TH ROAD SOUTH #624  ARLINGTON, VA 22206 US
Tel: --  Fax: --

NPI Information:
NPI: 1538583653
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N133N00000XDietary & Nutritional Service Providers
Nutritionist
R146754
N251E00000XAgencies
Home Health
MDR146754
N252Y00000XAgencies
Early Intervention Provider Agency
MDR146754
N261QA0005XAmbulatory Health Care Facilities
Clinic/Center
R146754
N281P00000XHospitals
Chronic Disease Hospital
MDR146754
N281PC2000XHospitals
Chronic Disease Hospital
MDR146754
N282NC2000XHospitals
General Acute Care Hospital
MDR146754
N291U00000XLaboratories
Clinical Medical Laboratory
MDR146754
N293D00000XLaboratories
Physiological Laboratory
MDR146754
N302F00000XManaged Care Organizations
Exclusive Provider Organization
MDR146754
N302F00000XManaged Care Organizations
Exclusive Provider Organization
R146754
N302R00000XManaged Care Organizations
Health Maintenance Organization
MDR146754
N305R00000XManaged Care Organizations
Preferred Provider Organization
MDR146754
N305S00000XManaged Care Organizations
Point of Service
MDR146754
Y251B00000XAgencies
Case Management
R146754

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 251B00000X

Type:

Classification:



Definition:



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