Organization
VITALCARE AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEDEST GEBRESELASSIE (DIRECTOR OF NURSING)
(571) 338-2764
Entity
Organization
Contact information
Practice address
16236 CHASE EAGLE LN, WOODBRIDGE, VA 22191-6064
(571) 373-9561
Mailing address
16236 CHASE EAGLE LN, WOODBRIDGE, VA 22191-6064
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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