Organization
ANCIENT HEALING HEALTHCARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REHEMA ABRAHAM MOLLEL ADON (ADON)
(703) 647-3645
Entity
Organization
Contact information
Practice address
5680 KING CENTRE DR, ALEXANDRIA, VA 22315-5757
(703) 647-3645
Mailing address
5680 KING CENTRE DR, ALEXANDRIA, VA 22315-5757
(703) 647-3645
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-1754
VA
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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