Organization
HOME LINK CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIKITA FEDOROV (ADMINISTRATOR)
(703) 349-2113
Entity
Organization
Contact information
Practice address
2110 GALLOWS RD STE C1, VIENNA, VA 22182-3962
(703) 349-2113
(703) 995-0621
Mailing address
2110 GALLOWS RD STE C1, VIENNA, VA 22182-3962
(703) 349-2113
(703) 995-0621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/04/2009
Last updated
07/28/2016
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