Organization
ASSURED HEALTH HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADJOA TWENEBOA AGYEI (ADMINISTRATOR)
(703) 864-7511
Entity
Organization
Contact information
Practice address
13198 CENTERPOINTE WAY STE 101, WOODBRIDGE, VA 22193-5285
(703) 221-4854
(703) 221-4902
Mailing address
13198 CENTERPOINTE WAY STE 101, WOODBRIDGE, VA 22193-5285
(703) 221-4854
(703) 221-4902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO151291
VA
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982084869
—
VA
Enumeration date
06/04/2015
Last updated
05/20/2020
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