Organization
AUTHENTIC HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA ABUNAW (ADMINISTRATOR)
(703) 597-1378
Entity
Organization
Contact information
Practice address
8471 IVY GLEN CT, MANASSAS, VA 20110-4632
(703) 597-1378
(703) 651-5483
Mailing address
PO BOX 4752, MANASSAS, VA 20108-4752
(703) 597-1378
(703) 651-5483
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102614655
—
VA
Enumeration date
03/11/2009
Last updated
03/11/2009
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