# DIGNITY HOME CARE LLC

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

## Provider details

- **NPI number:** 1124596572
- **Authorized official:** MS. MARY JAMES NGAHYOMA (ADMINISTRATOR)
- **Authorized official phone:** (240) 330-0468

## Contact information

- **Practice address:** 3022 JAVIER RD STE 154, FAIRFAX, VA 22031-4624
- **Practice address phone:** (571) 565-3192
- **Practice address fax:** (571) 565-3321
- **Mailing address:** 3022 JAVIER RD STE 154, FAIRFAX, VA 22031-4624
- **Mailing address phone:** (571) 565-3192
- **Mailing address fax:** (571) 565-3321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/04/2018
- **Last updated:** 11/04/2018