Organization
ADVANCE HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CONSTANTINE XANTHAKYS MS, PT (PHYSICAL THERAPIST, OWNER)
(571) 246-3622
Entity
Organization
Contact information
Practice address
6 PIDGEON HILL DR, SUITE 130-A, STERLING, VA 20165-6146
(571) 246-3622
(703) 421-1461
Mailing address
6 PIDGEON HILL DR, SUITE 130-A, STERLING, VA 20165-6146
(571) 246-3622
(703) 421-1461
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-353
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-353
HOME CARE LICENSE NUMBER
VA
Enumeration date
05/17/2006
Last updated
03/03/2008
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