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Organization

VIRGINIA SENIOR CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIMA EDALATIANZAKERI (GOVERNING BODY MEMBER / FOUNDER)
(703) 231-4331
Entity
Organization

Contact information

Practice address
5002 WHEATSTONE DR, FAIRFAX, VA 22032-2346
(703) 231-4331
Mailing address
5002 WHEATSTONE DR, FAIRFAX, VA 22032-2346
(703) 231-4331

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
372500000X
Chore Provider
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
385H00000X
Respite Care

Other

Enumeration date
08/02/2022
Last updated
02/23/2026
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