Organization
COURTESY FIRST HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANIA PEREYRA I (SUPERVISOR)
(703) 642-2385
Entity
Organization
Contact information
Practice address
5501 CHEROKEE AVE, SUITE # 202, ALEXANDRIA, VA 22312-2305
(703) 642-2385
(703) 642-2583
Mailing address
5501 CHEROKEE AVE, SUITE # 202, ALEXANDRIA, VA 22312-2305
(703) 642-2385
(703) 642-2583
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
372600000X
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158680154
—
VA
Enumeration date
10/05/2010
Last updated
10/05/2010
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