Organization
SHAMROCK KEY, LLC
Active
Organization
SHAMROCK KEY, LLC
Active
Other names
Amada Senior Care of Southern Fairfax County
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE HENRY REINARD JR. (PRESIDENT)
(571) 297-7499
Entity
Organization
Contact information
Practice address
5600 GENERAL WASHINGTON DR STE B202, ALEXANDRIA, VA 22312-2415
(571) 297-7499
Mailing address
5600 GENERAL WASHINGTON DR STE B202, ALEXANDRIA, VA 22312-2415
(571) 297-7499
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
VA
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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