Organization
PRIMA HOME HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR M ABDI (ADMINISTRATOR)
(703) 955-7800
Entity
Organization
Contact information
Practice address
14101 WILLARD ROAD, STE C, CHANTILLY, VA 20151-2934
(703) 955-7800
(703) 263-3119
Mailing address
14101 WILLARD ROAD, STE C, CHANTILLY, VA 20151-2934
(703) 955-7800
(703) 263-3119
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO07424
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164545240
—
VA
Enumeration date
04/06/2007
Last updated
05/07/2014
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