Organization
REST ASSURED HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WIREDU ASHONG (ADMINISTRATOR)
(703) 649-1865
Entity
Organization
Contact information
Practice address
4897 PRINCE WILLIAM PKWY STE 202, WOODBRIDGE, VA 22192-5433
(703) 649-1865
Mailing address
4897 PRINCE WILLIAM PKWY STE 202, WOODBRIDGE, VA 22192-5433
(703) 649-1865
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-1777
VA
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265946685
—
VA
01
—
HCO-1777
COMMONWEALTH OF VA, VDH
VA
Enumeration date
11/21/2017
Last updated
02/15/2024
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