Organization
BLUE NILE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED ELGHOUL (OWNER)
(424) 356-8573
Entity
Organization
Contact information
Practice address
4380 KING ST APT 807, ALEXANDRIA, VA 22302-1544
(571) 719-1319
Mailing address
4380 KING ST APT 807, ALEXANDRIA, VA 22302-1544
(571) 719-1319
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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