Organization
SALAADHHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIYA YOUSUF (OWNER)
(703) 868-8920
Entity
Organization
Contact information
Practice address
226 CEDAR LN SE APT 84, VIENNA, VA 22180-6626
(571) 279-8861
Mailing address
226 CEDAR LN SE APT 84, VIENNA, VA 22180-6626
(571) 525-8358
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174192769
—
VA
Enumeration date
06/18/2021
Last updated
11/14/2022
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