Organization
AVA HOMECARE AGENCY LLC
Active
Other names
AVA Homecare Agency
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL S SHIN (PRESIDENT)
(703) 495-3998
Entity
Organization
Contact information
Practice address
13383 LAUNDERS ST, HERNDON, VA 20171-5519
(703) 495-3998
(703) 289-0401
Mailing address
13383 LAUNDERS ST, HERNDON, VA 20171-5519
(703) 495-3998
(703) 289-0401
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/07/2022
Last updated
01/04/2023
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