Organization
PLATINUM HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICA EBISHOLA COLE (OWNER)
(571) 265-7202
Entity
Organization
Contact information
Practice address
11166 FAIRFAX BLVD STE 500, FAIRFAX, VA 22030-5017
(571) 263-4866
Mailing address
11166 FAIRFAX BLVD STE 500, FAIRFAX, VA 22030-5017
(571) 263-4866
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
02/07/2022
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