Individual
SULTANA PERVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6560 BACKLICK RD STE 216, SPRINGFIELD, VA 22150-2806
(703) 930-2490
(571) 775-3803
Mailing address
6560 BACKLICK RD STE 216, SPRINGFIELD, VA 22150-2806
(703) 930-2490
(571) 775-3803
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0005772
VA
253Z00000X
In Home Supportive Care Agency
0005772
VA
Other
Enumeration date
04/03/2025
Last updated
04/06/2025
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