Organization Name: | STAY AT HOME CARE |
NPI Number: | 1760870182 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHY S FULTON (OWNER) |
Mailing Address: | 4229 Lafayette Center Dr Ste 1675 Chantilly |
State: | VA US |
Postal Code: | 201511270 |
Phone Number: | 7034021172 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2015 |
NPI Last Update Date: | 01/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HCO-151168 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |