# MARYAM HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maryam Home Health LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255020608
- **Authorized official:** ZEINAB M AHMED (DIRECTOR)
- **Authorized official phone:** (240) 869-9325

## Contact information

- **Practice address:** 3453 CASTLE HILL DR, WOODBRIDGE, VA 22193-5319
- **Practice address phone:** (240) 869-9325
- **Practice address fax:** (571) 589-0141
- **Mailing address:** 3453 CASTLE HILL DR, WOODBRIDGE, VA 22193-5319
- **Mailing address phone:** (240) 869-9325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 05/02/2023
- **Last updated:** 03/28/2024