Organization
FIRST SUPPORT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMID HAJI MAGHSOUDI (ADMINISTRATOR)
(267) 432-6386
Entity
Organization
Contact information
Practice address
2501 WOOD FERN CT, RESTON, VA 20191-3720
(267) 432-6386
Mailing address
2501 WOOD FERN CT, RESTON, VA 20191-3720
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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