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Organization

MY HOME COMPANION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT F CARLIN (ADMINISTRATOR)
(703) 919-8811
Entity
Organization

Contact information

Practice address
8136 OLD KEENE MILL ROAD, B-308, SPRINGFIELD, VA 22031
(833) 286-9466
(571) 348-1264
Mailing address
8136 OLD KEENE MILL RD STE B308, SPRINGFIELD, VA 22152-1857
(833) 286-9466

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
374T00000X
Religious Nonmedical Nursing Personnel
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
Primary
HCO-1800
VA

Other

Enumeration date
02/27/2018
Last updated
02/27/2018
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