Organization
STAY AT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY S FULTON (OWNER)
(703) 402-1172
Entity
Organization
Contact information
Practice address
4229 LAFAYETTE CENTER DR STE 1675, CHANTILLY, VA 20151-1270
(703) 402-1172
Mailing address
42403 PINE FOREST DR, CHANTILLY, VA 20152-6073
(703) 402-1172
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCO-151168
VA
Other
Enumeration date
01/07/2015
Last updated
01/08/2015
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