Organization
A LIFE TO LOVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHICTIC SCOTT (CEO)
(202) 491-5479
Entity
Organization
Contact information
Practice address
15504 BANJO CT, WOODBRIDGE, VA 22193-8514
(202) 491-5479
Mailing address
15504 BANJO CT, WOODBRIDGE, VA 22193-8514
(202) 491-5479
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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