Organization
VA RESIDENTIAL HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HASSAN ELSIAH RPT (CEO/OWNER)
(347) 350-0898
Entity
Organization
Contact information
Practice address
3130 GOLANSKY BLVD STE 202, WOODBRIDGE, VA 22192-4268
(703) 486-6367
(703) 991-0462
Mailing address
3130 GOLANSKY BLVD STE 202, WOODBRIDGE, VA 22192-4268
(703) 486-6367
(703) 991-0462
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-151236
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-1511236
VDH LICENSURE
VA
Enumeration date
01/15/2015
Last updated
07/21/2022
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