Envisioncare Health Services
In Home Supportive Care in Mc Lean, VA. Organization (NPI-2).
NPI number1720483514
StatusActive
Last updated in NPPESOct 23, 2014
Details
- NPI
- 1720483514
- Entity type
- Organization (NPI-2)
- Legal business name
- Envisioncare Health Services
- Organization subpart
- No
- Enumeration date
- Oct 23, 2014
- Last updated
- Oct 23, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
1600 Tysons Blvd8th Floor
Mc Lean, VA 22102-4865
Phone 703-245-1124
Mailing address
1600 Tysons Blvd8th Floor
Mc Lean, VA 22102-4865
Phone 703-245-1124
Authorized official
Shereese C Tucker
Director
7032451124
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