Organization
NOVA CARE WELLNESS
Active
Other names
Life Tree Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOON KIM (ADMINISTRATOR)
(347) 668-5413
Entity
Organization
Contact information
Practice address
11240 WAPLES MILL RD STE 201, FAIRFAX, VA 22030-6078
(347) 668-5413
Mailing address
11240 WAPLES MILL RD STE 201, FAIRFAX, VA 22030-6078
(347) 668-5413
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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