Organization
ALPHA HEALTH RESOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESITA TIONGSON (EXECUTIVE ADMINISTRATOR)
(703) 674-7558
Entity
Organization
Contact information
Practice address
5514 ALMA LN, SUITE AHR, SPRINGFIELD, VA 22151-4000
(703) 674-7558
(571) 312-8790
Mailing address
5514 ALMA LN, SUITE AHR, SPRINGFIELD, VA 22151-4000
(703) 674-7558
(571) 312-8790
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-13867
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158763109
—
VA
05
—
0158763521
—
VA
Enumeration date
08/07/2012
Last updated
08/07/2012
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