Organization
ESSENTIAL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAI KAMARA (CEO)
(804) 277-5020
Entity
Organization
Contact information
Practice address
8814 COPPER LEAF WAY, FAIRFAX STATION, VA 22039-3078
(804) 277-5020
Mailing address
8814 COPPER LEAF WAY, FAIRFAX STATION, VA 22039-3078
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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