# INDEPENDENCE CARE OF VIRGINIA AT FREDERICKSBURG, LLC

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

## Provider details

- **NPI number:** 1477183382
- **Authorized official:** ALLISON VIAR (OWNER)
- **Authorized official phone:** (917) 733-1135

## Contact information

- **Practice address:** 1320 CENTRAL PARK BLVD STE 200, FREDERICKSBURG, VA 22401-4953
- **Practice address phone:** (917) 733-1135
- **Mailing address:** 517 W SADDLE RIVER RD, UPPER SADDLE RIVER, NJ 07458-1138
- **Mailing address phone:** (917) 733-1135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/20/2020
- **Last updated:** 01/20/2020
