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Organization
TRUE SELECT, LLC
Active
Organization
TRUE SELECT, LLC
Active
Other names
FirstLight Home Care of Manassas
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA GHANBARI (OWNER)
(540) 931-3188
Entity
Organization
Contact information
Practice address
3949 PENDER DR., SUITE 230, FAIRAX, VA 22030
(571) 292-2630
Mailing address
109 RADFORD CT, STEPHENS CITY, VA 22655
(571) 292-2630
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
HCO-161396
VA
Other
Enumeration date
01/29/2016
Last updated
05/17/2018
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