Organization
INDIVIDUAL CARE HOME HEALTHCARE
Active
Parent organization
NO
Other names
Individual Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
NO
Authorized official
MR. DELVIN MACARTHY (MANAGEMENT)
(703) 218-3630
Entity
Organization
Contact information
Practice address
4227 DIXHILL ROAD, SUITE 412, FAIRFAX, VA 22033
(703) 218-3630
(703) 218-3632
Mailing address
PO BOX 354, FAIRFAX, VA 22038-0354
(703) 218-3630
(703) 218-3632
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
212490428
VA
Other
Enumeration date
02/11/2008
Last updated
06/16/2014
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