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Angel Senior Home Care, LLC-Mclean

Home Health in Mc Lean, VA. Organization (NPI-2).

NPI number1053863381
StatusActive
Last updated in NPPESNov 14, 2016

Details

NPI
1053863381
Entity type
Organization (NPI-2)
Legal business name
Angel Senior Home Care, LLC-Mclean
Organization subpart
Yes
Enumeration date
Nov 3, 2016
Last updated
Nov 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home HealthHCO-171538VAYes

Practice location

6723 Whittier Ave Ste 204
Mc Lean, VA 22101-4544

Phone 571-216-4727 · Fax 703-971-3931

Mailing address

6723 Whittier Ave Ste 204
Mc Lean, VA 22101-4544

Phone 571-216-4727 · Fax 703-971-3931

Authorized official

Jai D Kohli
President
5712164727

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