Organization
HOME CARE ASSOCIATES OF VA
Active
Other names
Home Care Associates Of VA
Organization subpart
No
Provider details
NPI number
Authorized official
MAMUN JITU HOME CARE (ADMINISTRATOR)
(917) 657-3705
Entity
Organization
Contact information
Practice address
24338 WINDING WILLOW CT, ALDIE, VA 20105-5941
(917) 657-3705
Mailing address
24338 WINDING WILLOW CT, ALDIE, VA 20105-5941
(917) 657-3705
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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