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NPI 1982469540

OrganizationActive

Blackstone Mary Ivy Healthcare LLC

NPI 1982469540 · Home Health Agency · Lorton, VA

Provider details

NPI number: 1982469540
Entity type: Organization
Primary specialty: Home Health AgencyAgencies
Authorized official: Ato Smith-Mensah, Administrator

Practice location

8951 Birch Bay Cir

Lorton, VA 22079-5660

Phone: (571) 234-3699

More VA providers

Mailing address

8951 Birch Bay Cir

Lorton, VA 22079-5660

Registry dates

Enumerated: 2024-02-13
Last updated: 2024-02-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Blackstone Mary Ivy Healthcare LLC — NPI 1982469540, Lorton, VA | NPI Central