Organization
MAXBEL HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MABEL TIMA BREMPONG RN (ADMINISTRATOR)
(703) 225-8713
Entity
Organization
Contact information
Practice address
14916 SPRIGGS TREE LN, WOODBRIDGE, VA 22193-3199
(703) 225-8713
Mailing address
14916 SPRIGGS TREE LN, WOODBRIDGE, VA 22193-3199
(703) 225-8713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017532580001
—
VA
Enumeration date
05/11/2022
Last updated
10/02/2023
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