Organization
PRONURSE HOMECARE AND INFUSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN BRIAN GENUNG RN (MAJORITY OWNER)
(703) 591-3930
Entity
Organization
Contact information
Practice address
6262 ROSE HILL DR, ALEXANDRIA, VA 22310-6262
(703) 591-3930
(703) 665-0208
Mailing address
PO BOX 30453, ALEXANDRIA, VA 22310-8453
(703) 591-3930
(703) 665-0208
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-13936
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-13936
HOME CARE ORGANIZATION LICENSE NUMBER
VA
Enumeration date
03/08/2013
Last updated
11/30/2017
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