Organization
ORIGIN HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TSION HABTE (ASSISTANT ADMINISTRATOR)
(716) 431-0767
Entity
Organization
Contact information
Practice address
5100 LEESBURG PIKE, ALEXANDRIA, VA 22302-1038
(716) 431-0767
Mailing address
5100 LEESBURG PIKE, ALEXANDRIA, VA 22302-1038
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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