Organization
LEWIS & LEIGH INC
Active
Other names
Home Instead Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK STCLAIR II (PRESIDENT)
(703) 530-1360
Entity
Organization
Contact information
Practice address
9817 GODWIN DR, STE 202, MANASSAS, VA 20110-4156
(703) 530-1360
Mailing address
9817 GODWIN DR, STE 202, MANASSAS, VA 20110-4156
(703) 530-1360
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCO13539
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO13539
VA HOME CARE
VA
Enumeration date
10/19/2012
Last updated
12/30/2013
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