Organization
ABC AT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED AHMED (OWNER)
(703) 403-6742
Entity
Organization
Contact information
Practice address
5555 N TACOMA AVE STE 8, INDIANAPOLIS, IN 46220-3548
(703) 403-6742
Mailing address
8409 DORSEY CIR STE 201, MANASSAS, VA 20110-8305
(703) 403-6742
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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