Organization
EXCELHOMEHEALTHCARE LLC
Active
Other names
excelhomehealthcare,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HIBO HAJI JAMA (OWNER)
(703) 887-1702
Entity
Organization
Contact information
Practice address
43555 WHITE CAP TER, CHANTILLY, VA 20152-5824
(703) 887-1702
Mailing address
43555 WHITE CAP TER, CHANTILLY, VA 20152-5824
(703) 887-1702
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HCO-202073
—
VA
Enumeration date
12/02/2019
Last updated
12/02/2019
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