Organization
COURTESY FIRST HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANIA PEREYRA I (SUPERVISOR)
(571) 332-4523
Entity
Organization
Contact information
Practice address
5501 CHEROKEE AVE STE 202, 5501 CHEROKEE AVE, SUITE # 202, ALEXANDRIA, VA 22312-2305
(703) 642-2385
(703) 642-2583
Mailing address
5501 CHEROKEE AVE STE 202, 5501 CHEROKEE AVE, SUITE # 202, ALEXANDRIA, VA 22312-2305
(703) 642-2385
(703) 642-2583
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
VA
311ZA0620X
Adult Care Home Facility
372600000X
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158679909
—
VA
Enumeration date
09/23/2010
Last updated
11/24/2010
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