Organization
LAVENDER CARES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALYLAH PETERS (OFFICE MANAGER)
(571) 213-3164
Entity
Organization
Contact information
Practice address
901 S HIGHLAND ST STE 325, ARLINGTON, VA 22204-2459
(571) 213-3164
Mailing address
901 S HIGHLAND ST STE 333, ARLINGTON, VA 22204-2459
(571) 213-3164
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1743
VA
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881105377
—
VA
Enumeration date
10/24/2017
Last updated
10/23/2023
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