Jsa Homecare

NPI #1003363003 in Fairfax, Virginia

Provider Information

NPI Number: 1003363003
Entity Type: Organization
Organization Name: Jsa Homecare
Primary Specialty: Home Health
Enumeration Date: Sep 7, 2016
Last Updated: Sep 7, 2016

Practice Location

Address: 10721 MAIN ST
Address 2: SUITE 304
City: Fairfax
State: Virginia
ZIP Code: 22030-6914
Phone: (703) 591-7117

Authorized Official

Name: SHANNON M. NORTH-GILES
Title: PRESIDENT
Phone: (703) 591-7117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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