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Organization

CARE AT HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUELL ADDY PHARM.D. (OWNER/ADMINISTRATOR)
(571) 237-3842
Entity
Organization

Contact information

Practice address
800 3RD ST, 250, HERNDON, VA 20170-3272
(571) 237-3842
Mailing address
800 3RD ST, 250, HERNDON, VA 20170-3272
(571) 237-3842

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-09512
VA
251J00000X
Nursing Care Agency
HCO-09512
VA

Other

Enumeration date
01/13/2009
Last updated
01/13/2009
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