# SENIOR HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1518215227
- **Authorized official:** FRESHTA NAWABI RN (PRESIDENT)
- **Authorized official phone:** (571) 259-9384

## Contact information

- **Practice address:** 12801 WORLDGATE DR, SUITE 500, HERNDON, VA 20170-4393
- **Practice address phone:** (571) 259-9384
- **Practice address fax:** (571) 259-9384
- **Mailing address:** 12801 WORLDGATE DR, SUITE 500, HERNDON, VA 20170-4393
- **Mailing address phone:** (571) 259-9384
- **Mailing address fax:** (571) 259-9384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 08/28/2012