# LIFECARE ASSISTED LIVING, LLC

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

## Provider details

- **NPI number:** 1821411166
- **Authorized official:** TAMANIKA NEWTON MA, PA, CPT (CEO/FOUNDER)
- **Authorized official phone:** (703) 244-9533

## Contact information

- **Practice address:** 2833 KALMIA LEE CT APT 201, FALLS CHURCH, VA 22042-1714
- **Practice address phone:** (703) 244-9533
- **Mailing address:** 2833 KALMIA LEE CT APT 201, FALLS CHURCH, VA 22042-1714
- **Mailing address phone:** (703) 244-9533

## Taxonomy

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

## Other

- **Enumeration date:** 01/22/2014
- **Last updated:** 02/20/2014
