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Organization
BLUE HEART LLC
Active
Organization
BLUE HEART LLC
Active
Other names
TLC Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SYED SUHAIB ASIF SHAH (ADMINISTRATOR)
(703) 606-7829
Entity
Organization
Contact information
Practice address
3022 JAVIER RD, SUITE 104A, FAIRFAX, VA 22031-4645
(703) 646-1531
Mailing address
3022 JAVIER RD, SUITE 104A, FAIRFAX, VA 22031-4645
(703) 646-1531
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-171537
VA
Other
Enumeration date
11/25/2016
Last updated
11/25/2016
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