Organization
JSA HOMECARE
Active
Other names
Comfort Keepers
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON M. NORTH-GILES (PRESIDENT)
(703) 591-7117
Entity
Organization
Contact information
Practice address
10721 MAIN ST, SUITE 304, FAIRFAX, VA 22030-6914
(703) 591-7117
Mailing address
10721 MAIN ST, SUITE 304, FAIRFAX, VA 22030-6914
(703) 591-7117
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-15261
VA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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