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Organization

ACTUAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RUTH AMENU (ADMINISTRATOR)
(703) 273-0783
Entity
Organization

Contact information

Practice address
19455 DEERFIELD AVE STE 310, LEESBURG, VA 20176-8446
(703) 273-0783
Mailing address
19455 DEERFIELD AVE STE 310, LEESBURG, VA 20176-8446
(703) 273-0783

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
10/23/2006
Last updated
03/15/2012
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