Organization
LITTLE ROOSTER HOMECARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GENGER (OWNER)
(804) 836-6956
Entity
Organization
Contact information
Practice address
3100 CLARENDON BLVD, #200, ARLINGTON, VA 22201-5330
(804) 836-6956
Mailing address
3100 CLARENDON BLVD, #200, ARLINGTON, VA 22201-5330
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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