Organization
HOME CARE ASSISTANCE OF VIRGINIA LLC
Active
Other names
Home Care Assistance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH HANSEN (PRESIDENT)
(703) 356-4333
Entity
Organization
Contact information
Practice address
6723 CURRAN ST, MC LEAN, VA 22101-3804
(703) 356-4333
Mailing address
6723 CURRAN ST, MC LEAN, VA 22101-3804
(703) 356-4333
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCO-13558
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-13558
VIRGINIA HOME CARE ORGANIZATION
VA
Enumeration date
08/27/2012
Last updated
08/27/2012
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