Organization
KMA HEALTH SERVICES VA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSINE BELEHO (ADMINISTRATOR)
(202) 558-8804
Entity
Organization
Contact information
Practice address
10560 MAIN ST STE 111, FAIRFAX, VA 22030-7177
(202) 558-8804
Mailing address
10560 MAIN ST STE 111, FAIRFAX, VA 22030-7177
(202) 558-8804
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/30/2021
Last updated
03/21/2024
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