Organization
HOME & AWAY CARE PROVIDERS LLC
Active
Other names
Home & Away Care Providers LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FREDA FRIMPONG FERGUSON (DEPUTY ADMINISTRATOR)
(571) 450-1333
Entity
Organization
Contact information
Practice address
9383 FALLING WATER DR, BRISTOW, VA 20136-2189
(571) 450-1333
Mailing address
9383 FALLING WATER DR, BRISTOW, VA 20136-2189
(571) 450-1333
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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