Organization
ADVANCE HOME CARE. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIAZIZ OMAR HUSSEIN (OWNER)
(571) 277-0173
Entity
Organization
Contact information
Practice address
5827 COLUMBIA PIKE #407, FALLS CHURCH, VA 22041
(703) 998-8700
(703) 820-0417
Mailing address
5827 COLUMBIA PIKE SUITE.407, FALLS CHURCH, VA 22041
(703) 998-8700
(703) 820-0417
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC0151223
VA
Other
Enumeration date
11/04/2014
Last updated
08/25/2015
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