# COURTESY FIRST HOME CARE, LLC

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

## Provider details

- **NPI number:** 1396053336
- **Authorized official:** MRS. TANIA PEREYRA I (SUPERVISOR)
- **Authorized official phone:** (571) 332-4523

## Contact information

- **Practice address:** 5501 CHEROKEE AVE STE 202, 5501 CHEROKEE AVE, SUITE \# 202, ALEXANDRIA, VA 22312-2305
- **Practice address phone:** (703) 642-2385
- **Practice address fax:** (703) 642-2583
- **Mailing address:** 5501 CHEROKEE AVE STE 202, 5501 CHEROKEE AVE, SUITE \# 202, ALEXANDRIA, VA 22312-2305
- **Mailing address phone:** (703) 642-2385
- **Mailing address fax:** (703) 642-2583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | VA | Yes |
| 311ZA0620X | Adult Care Home Facility | 372600000X | VA | — |

## Other

- **Enumeration date:** 09/23/2010
- **Last updated:** 11/24/2010