Organization · NPI-2

Countrycare Home Health LLC

Home Health Aide · Falls Church, VA

NPI number1366099715
StatusActive
Last updated in NPPESAug 21, 2019

Details

NPI
1366099715
Entity type
Organization (NPI-2)
Legal business name
Countrycare Home Health LLC
Organization subpart
No
Enumeration date
Aug 21, 2019
Last updated
Aug 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Other names

  • Countrycare Home Health (Doing Business As)

Practice location

6269 Leesburg Pike Ste 105
Falls Church, VA 22044-2103

Phone 703-621-3187 · Fax 703-842-1194

Mailing address

6269 Leesburg Pike Ste 105
Falls Church, VA 22044-2103

Phone 703-621-3187

Authorized official

Paul Jajan
Administrator
7036213187

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