Organization
AA FAMILY HEALTHCARE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA WILSON (ADMINISTRATOR)
(703) 380-6809
Entity
Organization
Contact information
Practice address
1399 EISENHOWER CIR, 401, WOODBRIDGE, VA 22191-5231
(703) 380-6809
Mailing address
1399 EISENHOWER CIR APT 401, WOODBRIDGE, VA 22191-5231
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9000
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VA
—
VA
Enumeration date
08/30/2013
Last updated
08/30/2013
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