| NPI | 1033008461 |
|---|---|
| Doing Business As | EXECUTIVE HOME CARE OF MANASSAS |
| Entity Type | Organization |
| Authorized Contact | RYAN MCBROOM Owner Operator 540-424-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-23 |