Organization
LONGLIFE HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON S LEE (PRESIDENT)
(703) 354-9111
Entity
Organization
Contact information
Practice address
4115 ANNANDALE RD STE 308, ANNANDALE, VA 22003-2500
(703) 354-9111
Mailing address
4115 ANNANDALE RD STE 308, ANNANDALE, VA 22003-2500
(703) 354-9111
(703) 354-9113
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HCO-202037
—
VA
Enumeration date
02/19/2019
Last updated
08/09/2019
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