Organization
AJIR HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AYANLE SAMANTAR (CEO/ADMINISTRATOR)
(703) 589-3363
Entity
Organization
Contact information
Practice address
3045 MISSION SQUARE DR, FAIRFAX, VA 22031-1113
(703) 589-3363
Mailing address
3045 MISSION SQUARE DR, FAIRFAX, VA 22031-1113
(703) 589-3363
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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