Organization
HOLISTIC CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATMATA BANGURA (CEO/PROGRAM DIRECTOR)
(703) 744-0673
Entity
Organization
Contact information
Practice address
9020F LORTON STATION BLVD STE 115, LORTON, VA 22079-4799
(703) 744-0673
Mailing address
40 HULVEY DR, STAFFORD, VA 22556-3816
(540) 735-4315
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920595375
—
VA
Enumeration date
07/25/2021
Last updated
07/25/2021
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