Organization
A HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TESFA J MEKONNEN DNP (DIRECTOR)
(571) 388-0988
Entity
Organization
Contact information
Practice address
6715 LITTLE RIVER TRPK, 301A, ANNANDALE, VA 22003
(571) 388-0988
Mailing address
6715 LITTLE RIVER TRPK, 301A, ANNANDALE, VA 22003
(571) 388-0988
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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