# KMA HEALTH SERVICES VA, INC.

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

## Provider details

- **NPI number:** 1801466834
- **Authorized official:** ROSINE BELEHO (ADMINISTRATOR)
- **Authorized official phone:** (202) 558-8804

## Contact information

- **Practice address:** 10560 MAIN ST STE 111, FAIRFAX, VA 22030-7177
- **Practice address phone:** (202) 558-8804
- **Mailing address:** 10560 MAIN ST STE 111, FAIRFAX, VA 22030-7177
- **Mailing address phone:** (202) 558-8804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 06/30/2021
- **Last updated:** 03/21/2024