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Organization

ANN RESIDENTIAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAGIR HASSAN ELDIMYATI (OWNER)
(804) 924-5164
Entity
Organization

Contact information

Practice address
1916 N PARHAM RD, HENRICO, VA 23229-4023
(804) 924-5164
Mailing address
1916 N PARHAM RD, HENRICO, VA 23229-4023
(804) 924-5164

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
09/23/2020
Last updated
09/23/2020
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