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Organization

ETERNA CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FAHIM RUSTAEY (ADMINISTRATOR)
(571) 235-0564
Entity
Organization

Contact information

Practice address
13885 HEDGEWOOD DR STE 341, WOODBRIDGE, VA 22193-7933
(571) 235-0564
Mailing address
13885 HEDGEWOOD DR STE 341, WOODBRIDGE, VA 22193-7933

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
385H00000X
Respite Care

Other

Enumeration date
05/08/2026
Last updated
05/08/2026
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