Organization
VIDA IN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEL CHRISTIAN IENCO (OFFICE MANAGER)
(703) 899-8997
Entity
Organization
Contact information
Practice address
3 CROSSWOOD PL, STAFFORD, VA 22554-7839
(703) 899-8997
(540) 720-5356
Mailing address
524 GARRISONVILLE RD, PO BOX 151, GARRISONVILLE, VA 22463-9998
(703) 899-8997
(540) 720-5356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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