Organization
COLONIAL HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSTISLAV KAMENETSKY (PRESIDENT)
(703) 810-7500
Entity
Organization
Contact information
Practice address
10560 MAIN ST, SUITE#222, FAIRFAX, VA 22030
(703) 810-7500
(703) 496-5319
Mailing address
10560 MAIN ST, SUITE#222, FAIRFAX, VA 22030
(703) 810-7500
(703) 496-5319
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/27/2015
Last updated
03/16/2016
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