Organization
AMAZING HOME CARE SERVICES VA LLC
Active
Other names
AMAZING HOME CARE SERVICES VA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LUZDARYS AVENDANO HCO222081 (DIRECTOR)
(703) 881-1989
Entity
Organization
Contact information
Practice address
1660 INTERNATIONAL DR STE 600, MC LEAN, VA 22102-4877
(703) 881-1989
(703) 881-1989
Mailing address
1660 INTERNATIONAL DR STE 600, MC LEAN, VA 22102-4877
(703) 881-1989
(703) 881-1989
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0826250620
—
VA
Enumeration date
06/26/2019
Last updated
10/16/2024
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