# SALVATION ACADEMY HEALTH CARE & SECURITY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SALVATION ACADEMY HOME HEALTH AGENCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700284999
- **Authorized official:** MR. BRIMA BOB DEEN BA, ADBS, GMB CHI (PRESIDENT)
- **Authorized official phone:** (703) 763-1115

## Contact information

- **Practice address:** 4613 PINECREST OFFICE PARK DR, SUITE G, ALEXANDRIA, VA 22312-1442
- **Practice address phone:** (703) 763-1115
- **Practice address fax:** (703) 226-3328
- **Mailing address:** 4613 PINECREST OFFICE PARK DR, SUITE G, ALEXANDRIA, VA 22312-1442
- **Mailing address phone:** (703) 763-1115
- **Mailing address fax:** (703) 226-3328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-14940 | VA | Yes |

## Other

- **Enumeration date:** 12/20/2014
- **Last updated:** 12/20/2014