Organization
PREMIER HEALTHCARE FIRM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WALLACE (ACCOUNT MANAGER)
(703) 546-6626
Entity
Organization
Contact information
Practice address
106 ANDREW PL, STERLING, VA 20164-4803
(240) 907-1343
Mailing address
585 GROVE ST STE 145, HERNDON, VA 20170-4791
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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