Organization
BOAGEM HEALTHCARE SERVICES INC.
Active
Other names
Premier Plus Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRINCE AFARI BOATENG (PRESIDENT)
(703) 580-8118
Entity
Organization
Contact information
Practice address
4008 GENESEE PL, SUITE 105, WOODBRIDGE, VA 22192-8306
(703) 580-8118
(703) 580-9308
Mailing address
4008 GENESEE PL, SUITE 105, WOODBRIDGE, VA 22192-8306
(703) 580-8118
(703) 580-9308
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-14537
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156853951
—
VA
05
—
0156854413
—
VA
Enumeration date
06/24/2014
Last updated
06/24/2014
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