Organization
TAS-HOME HEALTH CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIUS NKEMAMIN (PRESIDENT)
(240) 351-1142
Entity
Organization
Contact information
Practice address
4601 PINECREST OFFICE PARK DR, SUITE F, ALEXANDRIA, VA 22312-1442
(240) 351-1142
Mailing address
4601 PINECREST OFFICE PARK DR, SUITE F, ALEXANDRIA, VA 22312-1442
(240) 351-1142
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-141066
VA
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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