# STAY AT HOME CARE

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

## Provider details

- **NPI number:** 1760870182
- **Authorized official:** CATHY S FULTON (OWNER)
- **Authorized official phone:** (703) 402-1172

## Contact information

- **Practice address:** 4229 LAFAYETTE CENTER DR STE 1675, CHANTILLY, VA 20151-1270
- **Practice address phone:** (703) 402-1172
- **Mailing address:** 42403 PINE FOREST DR, CHANTILLY, VA 20152-6073
- **Mailing address phone:** (703) 402-1172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | HCO-151168 | VA | Yes |

## Other

- **Enumeration date:** 01/07/2015
- **Last updated:** 01/08/2015