Provider Demographics
NPI:1598927840
Name:MA-LOWE HOME CARE AGENCY, MANASSAS INC
Entity Type:Organization
Organization Name:MA-LOWE HOME CARE AGENCY, MANASSAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-370-4002
Mailing Address - Street 1:8811 SUDLEY RD
Mailing Address - Street 2:209
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4750
Mailing Address - Country:US
Mailing Address - Phone:703-392-4240
Mailing Address - Fax:703-370-3010
Practice Address - Street 1:8811 SUDLEY RD
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4750
Practice Address - Country:US
Practice Address - Phone:703-392-4240
Practice Address - Fax:703-370-3010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA08-00008934251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health