# LIFE HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1134885510
- **Authorized official:** ALIMATU SESAY (OWNER/ ADMINISTRATOR)
- **Authorized official phone:** (571) 245-0276

## Contact information

- **Practice address:** 3022 JAVIER RD STE 104A, FAIRFAX, VA 22031-4646
- **Practice address phone:** (703) 405-6300
- **Mailing address:** 3022 JAVIER RD STE 104A, FAIRFAX, VA 22031-4646
- **Mailing address phone:** (703) 405-6300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2021
- **Last updated:** 11/10/2021
