Independence Empowerment Center

LBN: Independence Empowerment Center
Independence Empowerment Center is an health care organization with primary practice located at 8409 Dorsey Cir Suite # 101-102, Manassas VA 20110-8305. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Independence Empowerment Center can be contacted via phone (703) 257-5400, or through Lopez, Mary D via phone (703) 257-5400.

Contact Information

Primary practice address
8409 Dorsey Cir Suite # 101-102 Manassas VA 20110-8305
Phone: (703) 257-5400
Fax: (703) 257-5043
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Mary D PH.D
Phone: (703) 257-5400

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1083085161
LBN Legal business name Independence Empowerment Center
DBA Doing business as
Authorized official Lopez, Mary D PH.D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2015
Last updated Oct 14th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083085161 NPPES
Virginia MEDICAID 0087405426

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