# AW HOME CARE AGENCY LLC

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

## Provider details

- **NPI number:** 1699339283
- **Authorized official:** MR. ALHASSAN KABIA (RN / ADMINISTRATOR)
- **Authorized official phone:** (703) 346-4628

## Contact information

- **Practice address:** 5680 KING CENTRE DR STE 600, ALEXANDRIA, VA 22315-5755
- **Practice address phone:** (703) 346-4638
- **Mailing address:** 5680 KING CENTRE DR STE 600, ALEXANDRIA, VA 22315-5755
- **Mailing address phone:** (703) 346-4638

## Taxonomy

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

## Other

- **Enumeration date:** 04/29/2019
- **Last updated:** 04/29/2019