Organization
SUNNYSIDE HOME HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEONYI KIM (ADMINISTRATOR)
(571) 294-9311
Entity
Organization
Contact information
Practice address
14277 GLADE SPRING DR, CENTREVILLE, VA 20121-5610
(571) 294-9311
Mailing address
14277 GLADE SPRING DR, CENTREVILLE, VA 20121-5610
(571) 229-3655
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/10/2024
Last updated
06/13/2024
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