Organization
CARE ADVANTAGE INC
Active
Other names
CARE ADVANTAGE FAIRFAX
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH J JOHNSTON R.N. (OWNER)
(804) 323-9464
Entity
Organization
Contact information
Practice address
10680 MAIN ST, FAIRFAX, VA 22030-3810
(703) 436-4767
(703) 272-7533
Mailing address
10041 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4815
(804) 323-9464
(804) 330-3156
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NOT ISSUED YET
—
VA
Enumeration date
07/02/2014
Last updated
07/02/2014
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