Organization
PRIMARY CHOICE HEALTH CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RESURRECION B VILLAR (CEO)
(703) 992-8708
Entity
Organization
Contact information
Practice address
140 LITTLE FALLS ST., SUITE 205, FALLS CHURCH, VA 22046
(703) 992-8708
Mailing address
140 LITTLE FALLS ST STE 205, FALLS CHURCH, VA 22046-4323
(703) 992-8708
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO141007
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1209275468
STATE CORPORATION COMMISSION
VA
01
—
HCO141007
COMMONWEALTH OF VIRGINIA. VIRGINIA DEPARTMENT OF HEALTH
VA
Enumeration date
10/02/2013
Last updated
10/02/2013
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