Organization
ARISE-N-SHINE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DESIREE JOHNSON LPN (OWNER)
(703) 854-1067
Entity
Organization
Contact information
Practice address
3022 JAVIER RD, SUITE 105H, FAIRFAX, VA 22031-4645
(703) 854-1067
(703) 854-1071
Mailing address
3022 JAVIER RD, SUITE 105, FAIRFAX, VA 22031-4645
(703) 854-1067
(703) 854-1071
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/12/2014
Last updated
08/11/2014
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