Organization
NICE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAKSIM G BARAEV (CEO/ADMINISTRATOR)
(703) 901-7561
Entity
Organization
Contact information
Practice address
3601 PICKETT RD, SUITE 2773, FAIRFAX, VA 22031-8100
(703) 901-7561
Mailing address
3601 PICKETT RD, SUITE 2773, FAIRFAX, VA 22031-8100
(703) 901-7561
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
S6552840
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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