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Organization

SALVATION ACADEMY HEALTH CARE & SECURITY SERVICES LLC

Active
Other names
SALVATION ACADEMY HOME HEALTH AGENCY
Organization subpart
No

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-14940
VA

Other

Enumeration date
12/20/2014
Last updated
12/20/2014
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