Organization
QUALITY HOME CARE GIVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHISH SANGROULA MSIT (FINANCIAL MANAGER)
(202) 702-1642
Entity
Organization
Contact information
Practice address
4504 GASTON ST, CHANTILLY, VA 20151-2244
(202) 702-1642
Mailing address
4504 GASTON ST, CHANTILLY, VA 20151-2244
(202) 702-1642
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/10/2024
Last updated
12/10/2024
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