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Organization
COUNTRYCARE HOME HEALTH LLC
Active
Organization
COUNTRYCARE HOME HEALTH LLC
Active
Other names
CountryCare Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL JAJAN (ADMINISTRATOR)
(703) 621-3187
Entity
Organization
Contact information
Practice address
6269 LEESBURG PIKE STE 105, FALLS CHURCH, VA 22044-2103
(703) 621-3187
(703) 842-1194
Mailing address
6269 LEESBURG PIKE STE 105, FALLS CHURCH, VA 22044-2103
(703) 621-3187
(703) 842-1194
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NULL
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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