Provider Demographics
NPI:1841960432
Name:M&A CONFIDENCE HEALTHCARE
Entity type:Organization
Organization Name:M&A CONFIDENCE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:NOUMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-428-9217
Mailing Address - Street 1:17534 VICTORIA FALLS DR
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025-2023
Mailing Address - Country:US
Mailing Address - Phone:571-428-9217
Mailing Address - Fax:
Practice Address - Street 1:17534 VICTORIA FALLS DR
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22025-2023
Practice Address - Country:US
Practice Address - Phone:571-428-9217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities