Organization
SUNLIGHT HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRIETTE MUTOMBO (DIRECTOR)
(571) 484-1889
Entity
Organization
Contact information
Practice address
8902 STABLE FOREST PL, BRISTOW, VA 20136
(571) 484-1889
Mailing address
8902 STABLE FOREST PL, BRISTOW, VA 20136
(571) 484-1889
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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