Individual
HODAN HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12953 RIDGEMIST LN, FAIRFAX, VA 22033-2118
(571) 278-5170
Mailing address
12953 RIDGEMIST LN, FAIRFAX, VA 22033-2118
(703) 655-8720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HCO0006082
VA
3747P1801X
Personal Care Attendant
Primary
HCO0006082
VA
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
HCO0006082
VA
Other
Enumeration date
10/11/2025
Last updated
10/11/2025
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