Organization
BRIGHT HORIZONS SERVICES HOME HEALTH COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TALLA KUINKAM TALLA- DEMGUEU RN (DIRECTOR)
(703) 975-7818
Entity
Organization
Contact information
Practice address
13705 CHARDONNAY PL, BRISTOW, VA 20136-5807
(703) 975-7818
Mailing address
13705 CHARDONNAY PL, BRISTOW, VA 20136-5807
(703) 975-7818
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/04/2017
Last updated
02/04/2017
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