# MA-LOWE HOME CARE AGENCY FAIRFAX, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003159492
- **Authorized official:** MRS. MARIAMA LOWE RN (ADMINISTRATOR)
- **Authorized official phone:** (703) 359-4430

## Contact information

- **Practice address:** 3022 JAVIER ROAD, SUITE 207, FAIRFAX, VA 22031
- **Practice address phone:** (703) 359-4430
- **Mailing address:** 3022 JAVIER ROAD, SUITE 207, FAIRFAX, VA 22031
- **Mailing address phone:** (703) 359-4430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-13689 | VA | Yes |

## Other

- **Enumeration date:** 04/03/2013
- **Last updated:** 04/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0161625824 | MEDICAID PERSONAL CARE | — |
| 01 | — | 0161626988 | MEDICAID RESPITE | — |