| NPI | 1619524089 |
|---|---|
| Doing Business As | COUNTRYCARE HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | PAUL JAJAN Administrator 703-621-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |