Organization
TRUE SELECT, LLC
Active
Other names
FirstLight Home Care of Manassas
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA GHANBARI (OWNER)
(540) 931-3188
Entity
Organization
Contact information
Practice address
3949 PENDER DR., SUITE 230, FAIRAX, VA 22030
(571) 292-2630
Mailing address
109 RADFORD CT, STEPHENS CITY, VA 22655
(571) 292-2630
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
Primary
HCO-161396
VA
Other
Enumeration date
01/29/2016
Last updated
05/17/2018
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