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Organization

SUNLIGHT HOME CARE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. HENRIETTE K MUTOMBO CNA (FOUNDER &CEO)
(703) 565-4226
Entity
Organization

Contact information

Practice address
7961 FLAGER CIR, MANASSAS, VA 20109-7437
(703) 565-4226
Mailing address
7961 FLAGER CIR, MANASSAS, VA 20109-7437

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
1401071283
VA

Other

Enumeration date
08/26/2007
Last updated
08/26/2007
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