Organization
HOME CARE ASSOCIATES OF VA
Active
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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