Organization
BOM CARE INC
Active
Other names
The Bom Home Cae
Organization subpart
No
Provider details
NPI number
Authorized official
YUNG SOOK JANG (ALTERNATE ADMINISTRATOR)
(703) 200-9150
Entity
Organization
Contact information
Practice address
9401 MATHY DR STE 360, FAIRFAX, VA 22031-5333
(703) 859-2523
Mailing address
9401 MATHY DR STE 360, FAIRFAX, VA 22031-5333
(703) 859-2523
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/16/2024
Last updated
08/13/2024
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