Organization
PCS LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KENT (OWNER)
(202) 924-1079
Entity
Organization
Contact information
Practice address
14560 LEE RD, CHANTILLY, VA 20151-1684
(202) 924-1079
Mailing address
14560 LEE RD, CHANTILLY, VA 20151-1684
(202) 924-1079
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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