Organization
LILAC HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE FOGHA (CEO)
(240) 615-6514
Entity
Organization
Contact information
Practice address
1604 SPRING HILL RD, SUITE 273, VIENNA, VA 22182
(240) 615-6514
Mailing address
1604 SPRING HILL RD, SUITE 273, VIENNA, VA 22182
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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