Organization
CENTRE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD U BANGURA (ACCOUNTANT)
(703) 342-7827
Entity
Organization
Contact information
Practice address
6601 LITTLE RIVER TPKE STE 240, ALEXANDRIA, VA 22312-1316
(571) 333-3015
Mailing address
6601 LITTLE RIVER TPKE STE 240, ALEXANDRIA, VA 22312-1316
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-181187
VA
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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