Organization
INITIAL HOMECARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON VICTORIA BUFORD (ADMINISTRATOR)
(412) 849-5260
Entity
Organization
Contact information
Practice address
5501 SEMINARY RD APT 2612S, FALLS CHURCH, VA 22041-3913
(703) 933-3679
Mailing address
5501 SEMINARY RD APT 2612S, FALLS CHURCH, VA 22041-3913
(703) 933-3679
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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