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Organization

COMPASSION HEALTH SOURCE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUCILE W TIONGSON RN (EXECUTIVE ADMINISTRATOR)
(703) 992-7914
Entity
Organization

Contact information

Practice address
5514 ALMA LN STE 101, SPRINGFIELD, VA 22151-4014
(703) 992-7914
(703) 992-7913
Mailing address
5514 ALMA LN STE 101, SPRINGFIELD, VA 22151-4014
(703) 992-7914
(703) 992-7913

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-13841
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0154583303
VA
05
0157604270
VA
Enumeration date
08/07/2012
Last updated
08/07/2012
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