Organization
PARAMOUNT SERENITY HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BINTHA FATMATA KABBA-SILLAH (ADMINISTRATOR)
(703) 401-7834
Entity
Organization
Contact information
Practice address
2241H TACKETTS MILL DR, WOODBRIDGE, VA 22192-3029
(703) 494-9019
(703) 494-9109
Mailing address
2241H TACKETTS MILL DR, WOODBRIDGE, VA 22192-3029
(703) 494-9019
(703) 494-9109
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HCO-2036
—
VA
Enumeration date
01/03/2019
Last updated
04/17/2019
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