Organization
ANGEL SENIOR HOME CARE, LLC-MCLEAN
Active
Parent organization
ANGE LSENIOR HOME CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGE LSENIOR HOME CARE, LLC
Authorized official
MR. JAI D KOHLI (PRESIDENT)
(571) 216-4727
Entity
Organization
Contact information
Practice address
6723 WHITTIER AVE STE 204, MC LEAN, VA 22101-4544
(571) 216-4727
(703) 971-3931
Mailing address
6723 WHITTIER AVE STE 204, MC LEAN, VA 22101-4544
(571) 216-4727
(703) 971-3931
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-171538
VA
Other
Enumeration date
11/03/2016
Last updated
11/14/2016
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