# NOVA CARE WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life Tree Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861337172
- **Authorized official:** JOON KIM (ADMINISTRATOR)
- **Authorized official phone:** (347) 668-5413

## Contact information

- **Practice address:** 11240 WAPLES MILL RD STE 201, FAIRFAX, VA 22030-6078
- **Practice address phone:** (347) 668-5413
- **Mailing address:** 11240 WAPLES MILL RD STE 201, FAIRFAX, VA 22030-6078
- **Mailing address phone:** (347) 668-5413

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2026
- **Last updated:** 04/22/2026