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Agencies In Home Supportive Care

Provider NPI: 1962876177

Organization Information:
Organization is not Subpart
Authorized Official:  AL-HAJI  SESAY  OWNER  703-537-9615

Practice Location:
4231 S FOUR MILE RUN DR 21 ARLINGTON, VA 22204-3992 US
Tel: 703-537-9615  Fax: --

Business Mailing Address:
3700 9TH ST SE APT 1105 WASHINGTON, DC 20032-4075 US
Tel: --  Fax: --

NPI Information:
NPI: 1962876177
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
In Home Supportive Care
N315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
Y103TM1800XBehavioral Health & Social Service Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 103TM1800X





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