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Organization

GREEN LIFE HOME CARE, LLC

Active
Other names
Green Life Home Care, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
SAIFUL ISLAM (ADMINISTRATOR)
(347) 257-2037
Entity
Organization

Contact information

Practice address
1346 OLD BRIDGE RD # 6, WOODBRIDGE, VA 22192-2743
(347) 257-2037
(571) 302-4880
Mailing address
1346 OLD BRIDGE RD # 6, WOODBRIDGE, VA 22192-2743
(347) 257-2037
(571) 302-4880

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
3747P1801X
Personal Care Attendant
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
11/09/2024
Last updated
12/10/2024
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