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Organization
TDS HEALTH HOME CARE LLC
Active
Organization
TDS HEALTH HOME CARE LLC
Active
Parent organization
TDS HEALTH INC.
Other names
TDS Health Home Care LLc
Organization subpart
Yes
Provider details
NPI number
Legal business name
TDS HEALTH INC.
Authorized official
DR. STELLA N KINTU PHARMD, RPH, BCMCMS (CEO)
(703) 398-8525
Entity
Organization
Contact information
Practice address
4215 DALE BLVD, WOODBRIDGE, VA 22193-2243
(703) 398-8525
(571) 659-9028
Mailing address
4215 DALE BLVD, WOODBRIDGE, VA 22193-2243
(703) 398-8525
(571) 659-9028
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467975565
—
VA
Enumeration date
04/29/2020
Last updated
05/07/2020
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