# SCARLET HAVEN NURSING CARE, LLC

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

## Provider details

- **NPI number:** 1093015059
- **Authorized official:** MS. EULA KHADIJATU SECKA (ADMINISTRATOR)
- **Authorized official phone:** (240) 645-7642

## Contact information

- **Practice address:** 12504 LAKE RIDGE DR STE C, WOODBRIDGE, VA 22192-2391
- **Practice address phone:** (703) 490-1197
- **Practice address fax:** (703) 890-3122
- **Mailing address:** 12504 LAKE RIDGE DR STE C, WOODBRIDGE, VA 22192-2391
- **Mailing address phone:** (703) 490-1197
- **Mailing address fax:** (703) 890-3122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-11694 | VA | Yes |

## Other

- **Enumeration date:** 10/25/2010
- **Last updated:** 10/25/2010