| NPI | 1245887413 |
|---|---|
| Doing Business As | COUNTRYCARE HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | PAUL JAJAN Administrator 703-621-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |