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Organization
BOAGEM HEALTHCARE SERVICES INC.
Active
Organization
BOAGEM HEALTHCARE SERVICES INC.
Active
Other names
Premier Plus Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRINCE AFARI BOATENG (PRESIDENT)
(703) 580-8118
Entity
Organization
Contact information
Practice address
4008 GENESEE PL, SUITE 105, WOODBRIDGE, VA 22192-8306
(703) 580-8118
(703) 580-9308
Mailing address
4008 GENESEE PL, SUITE 105, WOODBRIDGE, VA 22192-8306
(703) 580-8118
(703) 580-9308
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-14537
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156853951
—
VA
05
—
0156854413
—
VA
Enumeration date
06/24/2014
Last updated
06/24/2014
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