# LILAC HEALTHCARE SERVICES INC

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

## Provider details

- **NPI number:** 1629492749
- **Authorized official:** MR. GEORGE FOGHA (CEO)
- **Authorized official phone:** (240) 615-6514

## Contact information

- **Practice address:** 1604 SPRING HILL RD, SUITE 273, VIENNA, VA 22182
- **Practice address phone:** (240) 615-6514
- **Mailing address:** 1604 SPRING HILL RD, SUITE 273, VIENNA, VA 22182

## Taxonomy

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

## Other

- **Enumeration date:** 02/10/2014
- **Last updated:** 02/10/2014