| NPI | 1366099715 |
|---|---|
| Doing Business As | COUNTRYCARE HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | PAUL JAJAN Administrator 703-621-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |