Organization
FAMILY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBAN FARAH (MANAGER)
(571) 422-0988
Entity
Organization
Contact information
Practice address
6560 BACKLICK RD STE 210, SPRINGFIELD, VA 22150-2806
(571) 216-2771
Mailing address
6560 BACKLICK RD STE 210, SPRINGFIELD, VA 22150-2806
(571) 216-2771
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
VA
385H00000X
Respite Care
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255994201
—
VA
05
—
0257943628
—
VA
Enumeration date
03/12/2018
Last updated
03/12/2018
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