Organization
NORTHERN VIRGINA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA N MILLER CPA (DIRECTOR OF FINANCE)
(757) 553-3109
Entity
Organization
Contact information
Practice address
601 S CARLIN SPRINGS RD, ARLINGTON, VA 22204-1044
(703) 717-7928
Mailing address
601 S CARLIN SPRINGS RD, ARLINGTON, VA 22204-1044
(703) 717-7928
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO 12804
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO12804
HOME CARE LICENSE
VA
Enumeration date
01/10/2012
Last updated
10/28/2014
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