# BLOSSOM FATIMA HOME HEALTHCARE SERVICES

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

## Provider details

- **NPI number:** 1669193546
- **Authorized official:** MR. ALIEU ALIMAMY KAMARA (OWNER/CEO)
- **Authorized official phone:** (703) 862-5977

## Contact information

- **Practice address:** 7627 FAIRFIELD WOODS CT APT D3, LORTON, VA 22079-1841
- **Practice address phone:** (703) 862-5977
- **Practice address fax:** (703) 890-2477
- **Mailing address:** 7627 FAIRFIELD WOODS CT APT D3, LORTON, VA 22079-1841
- **Mailing address phone:** (703) 862-5977
- **Mailing address fax:** (703) 890-2477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |
| 251J00000X | Nursing Care Agency | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376J00000X | Homemaker | — | — | — |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 09/08/2022
- **Last updated:** 09/08/2022