Organization
MA-LOWE HOME CARE AGENCY FAIRFAX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIAMA LOWE RN (ADMINISTRATOR)
(703) 359-4430
Entity
Organization
Contact information
Practice address
3022 JAVIER ROAD, SUITE 207, FAIRFAX, VA 22031
(703) 359-4430
Mailing address
3022 JAVIER ROAD, SUITE 207, FAIRFAX, VA 22031
(703) 359-4430
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-13689
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161625824
MEDICAID PERSONAL CARE
—
01
—
0161626988
MEDICAID RESPITE
—
Enumeration date
04/03/2013
Last updated
04/03/2013
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