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Organization
BBA HOME HEALTH CARE LLC
Active
Organization
BBA HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA PHIROM BREADY (OWNER)
(703) 606-3806
Entity
Organization
Contact information
Practice address
23420 SUMMERSTOWN PL, DULLES, VA 20166-2178
(703) 606-3806
Mailing address
23420 SUMMERSTOWN PLACE, DULLES, VA 20166
(703) 606-3806
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017487950001
—
VA
01
—
HCO-233043
BBA LICENSE
VA
Enumeration date
01/04/2016
Last updated
02/01/2023
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