Organization
DESIRED LIVING HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALAMATU KAMARA RN, MSN (CEO/OWNER)
(571) 225-9860
Entity
Organization
Contact information
Practice address
2349 BATTERY HILL CIR, WOODBRIDGE, VA 22191-6515
(571) 225-9860
(540) 388-4647
Mailing address
2349 BATTERY HILL CIR, WOODBRIDGE, VA 22191-6515
(571) 225-9860
(540) 388-4647
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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