Organization
OPTIMAL FAMILY HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATMATA ELBA (ADMINISTRATOR)
(703) 533-2400
Entity
Organization
Contact information
Practice address
900 S WASHINGTON ST, SUITE B103, FALLS CHURCH, VA 22046-4020
(703) 533-2400
(703) 533-2402
Mailing address
900 S WASHINGTON ST, SUITE B103, FALLS CHURCH, VA 22046-4020
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO141102
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205258639
—
VA
Enumeration date
01/21/2014
Last updated
06/03/2014
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