NPI 1003521378

Vidacare LLC

Organisation Health Maintenance Organization Washington, DC

Practice location

Address: 1629 K Street NW STE 300, Washington, DC 20006
Phone: (202) 403-2284
Mailing address: 1629 K Street NW STE 300, Washington, DC 20006-1631

Authorised official

Name: Lyman Terry Maddox
Title: Ceo
Phone: (202) 412-3725

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in District of Columbia →

In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

Other In Home Supportive Care providers in District of Columbia →

Registry record

NPI: 1003521378
Entity type: Organization
NPI issued: 20 Jan 2023
Record last updated: 20 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.