Organization
FOBETER HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAL GWANNULLA (CO-OWNER)
(202) 407-0695
Entity
Organization
Contact information
Practice address
13311 POINT PLEASANT DR, FAIRFAX, VA 22033-3514
(202) 407-0695
Mailing address
13311 POINT PLEASANT DR, FAIRFAX, VA 22033-3514
(202) 407-0695
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/07/2023
Last updated
05/01/2024
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