Organization
JET2020 LLC
Active
Other names
PleuroVive
Organization subpart
No
Provider details
NPI number
Authorized official
BEKKA ROSE QUIMMER (MANAGING PARTNER)
(703) 229-7439
Entity
Organization
Contact information
Practice address
107 PARK HILL LN, STERLING, VA 20164
(703) 229-7439
Mailing address
107 PARK HILL LN, STERLING, VA 20164
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302R00000X
Health Maintenance Organization
—
—
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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