# MIRE HEALTH GROUP

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

## Provider details

- **NPI number:** 1710520275
- **Authorized official:** MRS. AYAN M HASSAN (ADMINISTRATOR)
- **Authorized official phone:** (202) 210-6704

## Contact information

- **Practice address:** 4351 DONEGAL CHURCH CT, CHANTILLY, VA 20151-1310
- **Practice address phone:** (703) 951-6900
- **Mailing address:** 4351 DONEGAL CHURCH CT, CHANTILLY, VA 20151-1310
- **Mailing address phone:** (703) 951-6900
- **Mailing address fax:** (703) 951-6900

## Taxonomy

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

## Other

- **Enumeration date:** 10/28/2019
- **Last updated:** 10/28/2019