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Organization

LIFE HOME CARE INC

Active
Find providers by NPI
Organization

LIFE HOME CARE INC

Active
Other names
Life Home Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
YEONG SOON IM (PRESIDENT)
(703) 750-0024
Entity
Organization

Contact information

Practice address
4601 PINECREST OFFICE PARK DR UNIT H, ALEXANDRIA, VA 22312-1442
(703) 750-0024
(703) 750-0019
Mailing address
4601 PINECREST OFFICE PARK DR UNIT H, ALEXANDRIA, VA 22312-1442
(703) 750-0024
(703) 750-0019

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-202176
HOME CARE LICENSE
VA
Enumeration date
09/19/2019
Last updated
09/19/2019
About Stedi
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