Organization
CENTRAL SENIOR CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEISUNG JUHN LEE (CEO)
(703) 517-0283
Entity
Organization
Contact information
Practice address
6214 OLD KEENE MILL CT, SPRINGFIELD, VA 22152-2327
(703) 517-0283
Mailing address
6214 OLD KEENE MILL CT, SPRINGFIELD, VA 22152-2327
(703) 517-0283
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-141001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-141001
HOME CARE ORGANIZATION
VA
Enumeration date
08/26/2013
Last updated
10/15/2014
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