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Organization
VIDA IN HOME CARE LLC
Active
Organization
VIDA IN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEL CHRISTIAN IENCO (OFFICE MANAGER)
(703) 899-8997
Entity
Organization
Contact information
Practice address
3 CROSSWOOD PL, STAFFORD, VA 22554-7839
(703) 899-8997
(540) 720-5356
Mailing address
524 GARRISONVILLE RD, PO BOX 151, GARRISONVILLE, VA 22463-9998
(703) 899-8997
(540) 720-5356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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