# LONGLIVE HOME CARE MD

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

## Provider details

- **NPI number:** 1255044608
- **Authorized official:** SHARON LEE (PRESIDENT)
- **Authorized official phone:** (571) 623-0255

## Contact information

- **Practice address:** 199 E MONTGOMERY AVE STE 100, ROCKVILLE, MD 20850-2361
- **Practice address phone:** (703) 742-7400
- **Mailing address:** 10304 EATON PL STE 100, FAIRFAX, VA 22030-2221
- **Mailing address phone:** (703) 742-7400

## Taxonomy

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

## Other

- **Enumeration date:** 12/30/2022
- **Last updated:** 12/30/2022
