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Organization

ADVANCED HOME CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SELINA BONNEY RN (ADMINISTRATOR)
(703) 962-7797
Entity
Organization

Contact information

Practice address
4222 FORTUNA CENTER PLZ # 211, DUMFRIES, VA 22025-1515
(703) 962-7797
Mailing address
4222 FORTUNA CENTER PLZ # 211, DUMFRIES, VA 22025-1515
(703) 962-7797

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HCO-212475
VDH HCO LICENSE
VA
Enumeration date
01/29/2021
Last updated
02/01/2021
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