NPI 1619263092
Long Healthcare
Practice location
- Address
- 12998 Taxi Drive, Woodbridge, VA 22193
- Phone
- (240) 793-1375
- Mailing address
- PO Box 1033, Woodbridge, VA 22193
Authorised official
- Name
- Erica Catherine Bouling
- Title
- Owner
- Phone
- (240) 793-1375
Registered specialties (3)
Home Health Aide
Primary
Adult Companion
Nurse's Aide
Registry record
- NPI
- 1619263092
- Entity type
- Organization
- NPI issued
- 23 Jun 2011
- Record last updated
- 23 Jun 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.