# AUTHENTIC HOME HEALTH SERVICES

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

## Provider details

- **NPI number:** 1578704185
- **Authorized official:** MS. MARTHA ABUNAW (ADMINISTRATOR)
- **Authorized official phone:** (703) 597-1378

## Contact information

- **Practice address:** 8471 IVY GLEN CT, MANASSAS, VA 20110-4632
- **Practice address phone:** (703) 597-1378
- **Practice address fax:** (703) 651-5483
- **Mailing address:** PO BOX 4752, MANASSAS, VA 20108-4752
- **Mailing address phone:** (703) 597-1378
- **Mailing address fax:** (703) 651-5483

## Taxonomy

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

## Other

- **Enumeration date:** 03/11/2009
- **Last updated:** 03/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0102614655 | — | VA |