Organization
JENFORTE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN KONNEH (ADMINISTRATOR)
(571) 263-5870
Entity
Organization
Contact information
Practice address
13000 HABOR CANTER DR, SUITE 364, WOODBRIDGE, VA 22192
(571) 263-5870
Mailing address
13000 HABOR CENTER DR, SUITE 364, WOODBRIDGE, VA 22192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HCO
—
VA
Enumeration date
08/13/2021
Last updated
08/13/2021
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