Organization
AA ALTIMATE HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA WILSON (OWNER)
(703) 380-6809
Entity
Organization
Contact information
Practice address
6560 BACKLICK RD STE 206, SPRINGFIELD, VA 22150-2806
(703) 643-4066
(571) 316-1654
Mailing address
6560 BACKLICK RD STE 206, SPRINGFIELD, VA 22150-2806
(703) 643-4066
(571) 316-1654
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VIRGINIA
—
VA
Enumeration date
11/02/2016
Last updated
12/05/2022
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