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Organization
HAVEN IN HOME SUPPORT
Active
Organization
HAVEN IN HOME SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEDINA IBRAHIM (ADMINISTRATOR)
(703) 444-2244
Entity
Organization
Contact information
Practice address
21335 SIGNAL HILL PLZ STE 250, STERLING, VA 20164-5567
(703) 444-2244
Mailing address
21335 SIGNAL HILL PLZ STE 250, STERLING, VA 20164-5567
(703) 444-2244
(703) 982-7520
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
05/11/2024
Last updated
05/11/2024
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