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Organization
BLOSSOM FATIMA HOME CARE
Active
Organization
BLOSSOM FATIMA HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALIEU A KAMARA (DIRECTOR)
(703) 862-5977
Entity
Organization
Contact information
Practice address
4810 BRADFORD DR, ANNANDALE, VA 22003-5539
(703) 862-5977
Mailing address
4810 BRADFORD DR, ANNANDALE, VA 22003-5539
(703) 862-5977
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/23/2019
Last updated
12/09/2024
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