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Organization

EXCELHOMEHEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. HIBO HAJI JAMA (OWNER)
(703) 887-1702
Entity
Organization

Contact information

Practice address
43555 WHITE CAP TER, CHANTILLY, VA 20152-5824
(703) 887-1702
Mailing address
43555 WHITE CAP TER, CHANTILLY, VA 20152-5824
(703) 887-1702

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HCO202073
VA
Enumeration date
10/28/2019
Last updated
10/28/2019
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