# HOME & AWAY CARE PROVIDERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home & Away Care Providers LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992464093
- **Authorized official:** MRS. FREDA FRIMPONG FERGUSON (DEPUTY ADMINISTRATOR)
- **Authorized official phone:** (571) 450-1333

## Contact information

- **Practice address:** 9383 FALLING WATER DR, BRISTOW, VA 20136-2189
- **Practice address phone:** (571) 450-1333
- **Mailing address:** 9383 FALLING WATER DR, BRISTOW, VA 20136-2189
- **Mailing address phone:** (571) 450-1333

## Taxonomy

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

## Other

- **Enumeration date:** 12/16/2021
- **Last updated:** 12/16/2021