Organization
MILLENNIUM HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MULUEMBET FISSEHA (ADMINISTRATOR)
(703) 862-8447
Entity
Organization
Contact information
Practice address
4810 BEAUREGARD ST, SUITE 325, ALEXANDRIA, VA 22312-1709
(703) 941-8412
Mailing address
4810 BEAUREGARD ST, SUITE 325, ALEXANDRIA, VA 22312-1709
(703) 941-8412
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-14982
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171824805
—
VA
05
—
0171830612
—
VA
05
—
0171836569
—
VA
Enumeration date
11/22/2013
Last updated
09/08/2015
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