Organization
VITALITY HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANWAR NASSIRY (OWNER)
(703) 615-3817
Entity
Organization
Contact information
Practice address
3900 JERMANTOWN RD STE 300, FAIRFAX, VA 22030-4900
(703) 260-8888
(703) 260-8889
Mailing address
3900 JERMANTOWN RD STE 300, FAIRFAX, VA 22030-4900
(703) 260-8888
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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