Organization
CHARIS GRACE HEALTH CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILDA KAETU-SMITH (ADMINISTATOR, DIRECTOR)
(703) 589-9167
Entity
Organization
Contact information
Practice address
8280 WILLOW OAKS CORPORATE DR STE 600, FAIRFAX, VA 22031-4516
(571) 575-4867
Mailing address
8280 WILLOW OAKS CORPORATE DR STE 600, FAIRFAX, VA 22031-4516
(703) 589-9167
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/07/2022
Last updated
09/20/2024
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