# BRISTOW CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1710590393
- **Authorized official:** KHRISS A CORPUZ (OWNER)
- **Authorized official phone:** (571) 991-9605

## Contact information

- **Practice address:** 10875 JUSTABOUT FARMS LN, NOKESVILLE, VA 20181-2954
- **Practice address phone:** (571) 991-9605
- **Mailing address:** 10875 JUSTABOUT FARMS LN, NOKESVILLE, VA 20181-2954
- **Mailing address phone:** (571) 991-9605

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2020
- **Last updated:** 08/25/2020