Organization
COUNTRYCARE HOME HEALTH LLC
Active
Other names
CountryCare Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL JAJAN (ADMINISTRATOR)
(703) 621-3187
Entity
Organization
Contact information
Practice address
6269 LEESBURG PIKE STE 105, FALLS CHURCH, VA 22044-2103
(703) 621-3187
(703) 842-1194
Mailing address
6269 LEESBURG PIKE STE 105, FALLS CHURCH, VA 22044-2103
(703) 621-3187
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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