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Organization

BPE HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AURORA MYFTARAJ (VICE ADMINISTRATOR)
(704) 277-3998
Entity
Organization

Contact information

Practice address
7745 TIVERTON DR, SPRINGFIELD, VA 22152-2021
(704) 277-3998
Mailing address
7745 TIVERTON DR, SPRINGFIELD, VA 22152-2021
(704) 277-3998

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
253Z00000X
In Home Supportive Care Agency
Primary
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
385H00000X
Respite Care

Other

Enumeration date
06/28/2024
Last updated
10/16/2024
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