# SOUTH HOME HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1245663335
- **Authorized official:** MRS. ASHA MOHAMUD ELMI (OWNER)
- **Authorized official phone:** (703) 750-1101

## Contact information

- **Practice address:** 4601 PINECREST OFFICE PARK DR STE F, ALEXANDRIA, VA 22312-1442
- **Practice address phone:** (703) 750-1101
- **Practice address fax:** (703) 750-1102
- **Mailing address:** 4601 PINECREST OFFICE PARK DR STE F, ALEXANDRIA, VA 22312-1442
- **Mailing address phone:** (703) 750-1101
- **Mailing address fax:** (703) 750-1102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-14989 | VA | Yes |

## Other

- **Enumeration date:** 08/13/2013
- **Last updated:** 03/19/2020