Organization
LOVECARE L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOHA FOROOZAN (OWNER)
(703) 772-3788
Entity
Organization
Contact information
Practice address
42863 REDFIELD ST, ASHBURN, VA 20147-3664
(703) 772-3788
Mailing address
43294 RUSH RUN TER, ASHBURN, VA 20147-3745
(703) 772-3788
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NOT APPLICABLE
—
Enumeration date
04/07/2021
Last updated
04/07/2021
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