Richard Ilog
Richard Ilog is an In Home Supportive Care Agency in Springfield, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2024
Practice location Address checks out
7026 Commerce StSpringfield, VA 22150-3433
Phone: (301) 728-4956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence 8983 (VA) |
|---|
Record details
| NPI number | 1225880925 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2024 |
| Last updated in NPPES | April 4, 2024 |
| Certification date | April 4, 2024 |
| Mailing address | 7026 Commerce St, Springfield, VA 22150-3433 |
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