Independent Living Home Care L. L.c.

NPI #1861004491 in Burke, Virginia

Provider Information

NPI Number
1861004491
Entity Type
Organization
Organization Name
Independent Living Home Care L. L.c.
Primary Specialty
In Home Supportive Care
Enumeration Date
Aug 17, 2020
Last Updated
Aug 17, 2020

Practice Location

Address
6115 MANTLE RD
City
Burke
ZIP Code
22015-3807
Phone
(267) 252-1119

Authorized Official

Name
ALICIA GREEN
Title
OWNER/VP
Phone
(267) 252-1119

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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