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Organization

SALVATION ACADEMY

Active
Other names
SALVATION ACADEMY MEDICAL STAFFING
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIMA BOB DEEN BA, ADBS, IMIS (PRESIDENT)
(703) 763-1115
Entity
Organization

Contact information

Practice address
4613 PINECREST OFFICE PARK DR, UNIT F-G, ALEXANDRIA, VA 22312-1442
(703) 763-1115
(706) 226-3328
Mailing address
4613 PINECREST OFFICE PARK DR, UNIT F-G, ALEXANDRIA, VA 22312-1442
(703) 763-1115
(703) 226-3328

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
VA
374U00000X
Home Health Aide
Primary
VA

Other

Enumeration date
05/31/2011
Last updated
05/31/2011
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