Organization
CANAAN CARE SERVICES, LLC
Active
Other names
LOUDOUN HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIVIANE ATCHOU (PROGRAM DIRECTOR)
(571) 432-8864
Entity
Organization
Contact information
Practice address
10066 MARSHALL POND RD, BURKE, VA 22015-3731
(571) 432-8864
Mailing address
20322 TANAGER PL, LEESBURG, VA 20175-8892
(571) 432-8864
(703) 348-7510
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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