# COUNTRYCARE HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CountryCare Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619524089
- **Authorized official:** PAUL JAJAN (ADMINISTRATOR)
- **Authorized official phone:** (703) 621-3187

## Contact information

- **Practice address:** 6269 LEESBURG PIKE STE 105, FALLS CHURCH, VA 22044-2103
- **Practice address phone:** (703) 621-3187
- **Practice address fax:** (703) 842-1194
- **Mailing address:** 6269 LEESBURG PIKE STE 105, FALLS CHURCH, VA 22044-2103

## Taxonomy

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

## Other

- **Enumeration date:** 08/21/2019
- **Last updated:** 08/21/2019