# NOVA MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194152595
- **Authorized official:** AHMED MOSTAFA (MANGER)
- **Authorized official phone:** (703) 333-5288

## Contact information

- **Practice address:** 7010 LITTLE RIVER TPKE STE 400, ANNANDALE, VA 22003-3241
- **Practice address phone:** (703) 333-5288
- **Mailing address:** 7010 LITTLE RIVER TPKE STE 400, ANNANDALE, VA 22003-3241
- **Mailing address phone:** (703) 333-5288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2013
- **Last updated:** 09/30/2013