IndividualActive
Eric Mbualungu
NPI 1093422982 · Nursing Home Administrator · Centreville, VA
Provider details
- NPI number
- 1093422982
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
14600 Cedar Knoll Dr
Centreville, VA 20120-2895
Phone: (571) 619-3099
Mailing address
14600 Cedar Knoll Dr
Centreville, VA 20120-2895
Registry dates
- Enumerated
- 2022-11-01
- Last updated
- 2022-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.