Organization
IMPERIAL HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONGANTY BORBOR (CEO)
(703) 237-1388
Entity
Organization
Contact information
Practice address
916 W BROAD ST, FALLS CHURCH, VA 22046-3135
(703) 237-1388
(703) 237-3189
Mailing address
916 W BROAD ST, SUITE 201, FALLS CHURCH, VA 22046-3135
(703) 237-1388
(703) 237-3189
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
HCO-349
VA
Other
Enumeration date
04/11/2006
Last updated
07/21/2022
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