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Organization

ABOL HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ESKEDAR ENYEW KASSA (FINANCIAL ADMINISTRATOR)
(240) 495-9612
Entity
Organization

Contact information

Practice address
85 S BRAGG ST STE 200C, ALEXANDRIA, VA 22312-2793
(703) 270-9256
Mailing address
85 S BRAGG ST STE 200C, ALEXANDRIA, VA 22312-2793
(703) 270-9256

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
04/11/2023
Last updated
04/11/2023
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