Organization
PROSPECT HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HISHAM ABDELWAHAB (ADMINISTRATOR)
(412) 925-9937
Entity
Organization
Contact information
Practice address
8315 LEE HIGHWAY, SUITE 302, FAIRFAX, VA 22031
(703) 663-8864
(703) 997-7727
Mailing address
8315 LEE HIGHWAY, SUITE 302, FAIRFAX, VA 22031
(703) 663-8864
(703) 997-7727
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0151203
VA
Other
Enumeration date
09/30/2014
Last updated
02/27/2025
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