Organization
4 ANGELS HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AISHA ZADRAN (ADMINISTRATOR)
(202) 495-9260
Entity
Organization
Contact information
Practice address
16213 OWL EAGLE CT, WOODBRIDGE, VA 22191-6537
(202) 495-9260
Mailing address
16213 OWL EAGLE CT, WOODBRIDGE, VA 22191-6537
(202) 495-9260
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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