Organization
HOME HEALTH CONNECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TEMI O BODUNRIN (EXECUTIVE VICE PRESIDENT)
(443) 226-5814
Entity
Organization
Contact information
Practice address
6969 RICHMOND HWY, #101, ALEXANDRIA, VA 22306-1839
(703) 768-7351
(703) 768-7832
Mailing address
6969 RICHMOND HWY, #101, ALEXANDRIA, VA 22306-1839
(703) 768-7351
(703) 768-7832
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-08278
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151677264
—
VA
05
—
0151677421
—
VA
Enumeration date
01/14/2008
Last updated
01/14/2008
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