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Organization

CHAMP HOME CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OTUO SEREBOUR ACHEAMPONG PHD,MBA,CPA (PRESIDENT)
(703) 400-6000
Entity
Organization

Contact information

Practice address
12470 EVEREST PEAK LN, WOODBRIDGE, VA 22192-6733
(703) 400-6000
Mailing address
12470 EVEREST PEAK LN, WOODBRIDGE, VA 22192-6733
(703) 400-6000

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency

Other

Enumeration date
03/17/2017
Last updated
03/17/2017
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