MEDICARE: 247 SUPPORT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1538947551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	247 SUPPORT LLC

Provider Business Mailing Address
First Line	:	6911 RICHMOND HWY STE 301B
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-1846
Country	:	US
Telephone Number	:	703-201-2267
Fax Number	:

Provider Business Practice Location Address
First Line	:	6911 RICHMOND HWY STE 301B
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-1846
Country	:	US
Telephone Number	:	703-201-2267
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	DR. KEHBUMA LANGMIA
Credential	:	MA
Telephone Number	:	703-201-2267

Provider Enumeration Date	:	09/20/2023
Last Update Date	:	09/20/2023

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Directions to “247 SUPPORT LLC ” Practice Location

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