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Organization
AGING GRACEFULLY SENIOR CARE
Active
Organization
AGING GRACEFULLY SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL KWASI ABA (CHIEF ADMIN OFFICER)
(703) 218-5044
Entity
Organization
Contact information
Practice address
10560 MAIN ST, # 513, FAIRFAX, VA 22030-7182
(703) 218-5044
Mailing address
10560 MAIN ST, # 513, FAIRFAX, VA 22030-7182
(703) 218-5044
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO316PC
VA
Other
Enumeration date
05/08/2006
Last updated
07/21/2022
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