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Organization

FOUR SEASONS HOME HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HIEN TRUONG RN (ADMINISTRATOR)
(703) 479-6123
Entity
Organization

Contact information

Practice address
6408 SEVEN CORNERS PL STE J, FALLS CHURCH, VA 22044-2011
(703) 890-2127
Mailing address
6408 SEVEN CORNERS PL STE J, FALLS CHURCH, VA 22044-2011
(703) 890-2127

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
253Z00000X
In Home Supportive Care Agency
Primary
372500000X
Chore Provider
385H00000X
Respite Care

Other

Enumeration date
08/14/2023
Last updated
07/09/2024
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