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Organization
634 LIVING CO
Active
Organization
634 LIVING CO
Active
Other names
FirstLight Home Care of Woodbridge VA
Organization subpart
No
Provider details
NPI number
Authorized official
NIESHA ANDERSON (CEO)
(571) 932-3266
Entity
Organization
Contact information
Practice address
15000 POTOMAC TOWN PL STE 100-512, WOODBRIDGE, VA 22191-6586
(571) 932-3266
Mailing address
15000 POTOMAC TOWN PL STE 100-512, WOODBRIDGE, VA 22191-6586
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/01/2025
Last updated
08/07/2026
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