Organization
CROWN HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDIRAHIM GELLE HUSSEIN (ADMINISTRATOR)
(703) 817-1555
Entity
Organization
Contact information
Practice address
14159 MARIAH CT STE 800, CHANTILLY, VA 20151-2106
(703) 817-1555
(703) 817-1554
Mailing address
14159 MARIAH CT STE 800, CHANTILLY, VA 20151-2106
(703) 817-1555
(703) 817-1554
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO08318
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101782156
—
VA
Enumeration date
09/13/2007
Last updated
09/13/2007
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