Organization
CENTRE HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFRAH ABSHIR FATAH (OWNER)
(703) 216-5528
Entity
Organization
Contact information
Practice address
12020 SUNRISE VALLEY DR, RESTON, VA 20191-3440
(703) 216-5528
Mailing address
12020 SUNRISE VALLEY DR, RESTON, VA 20191-3440
(703) 216-5528
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
VA
Other
Enumeration date
09/16/2013
Last updated
07/21/2022
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