Organization
LIFE AT HOME HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA K NJWEIPI (DIRECTOR)
(571) 577-5447
Entity
Organization
Contact information
Practice address
13088 BOURNE PL, BRISTOW, VA 20136-1000
(571) 577-5447
Mailing address
13088 BOURNE PL, BRISTOW, VA 20136-1000
(571) 577-5447
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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