Organization
HAFSUL LLC
Active
Other names
HAFSUL HEALTHCARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAMA JALLOH RN (PRESIDENT)
(571) 398-8393
Entity
Organization
Contact information
Practice address
14340 N PARK CT, WOODBRIDGE, VA 22193-3014
(571) 398-8393
Mailing address
14340 N PARK CT, WOODBRIDGE, VA 22193-3014
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-0005979
VDH-OLC
VA
Enumeration date
09/20/2025
Last updated
09/20/2025
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