Organization
LONG HEALTHCARE
Active
Organization
LONG HEALTHCARE
Active
Other names
E-Staff (Old Name)
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA CATHERINE BOULING CNA (OWNER)
(240) 793-1375
Entity
Organization
Contact information
Practice address
12998 TAXI DRIVE, WOODBRIDGE, VA 22193
(240) 793-1375
Mailing address
PO BOX 1033, WOODBRIDGE, VA 22193
(240) 793-1375
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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