# FONGE HOME HEALTH SERVICES,LLC

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

## Provider details

- **NPI number:** 1447863709
- **Authorized official:** BINETTE FORZONG FONGE PHD (CEO/DIRECTOR)
- **Authorized official phone:** (202) 390-7313

## Contact information

- **Practice address:** 4229 LAFAYETTE CENTER DR STE 1300G, CHANTILLY, VA 20151-1261
- **Practice address phone:** (120) 275-8420
- **Mailing address:** 4229 LAFAYETTE CENTER DR STE 1300G, CHANTILLY, VA 20151-1261
- **Mailing address phone:** (120) 275-8420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2020
- **Last updated:** 10/22/2020
