Healthcare Provider Details

I. General information

NPI: 1770226979
Provider Name (Legal Business Name): UNION HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 04/15/2022
Certification Date: 04/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16059 IMPERIAL COURT
WOODBRIDGE VA
22191
US

IV. Provider business mailing address

16059 IMPERIAL COURT
WOODBRIDGE VA
22191
US

V. Phone/Fax

Practice location:
  • Phone: 800-507-0850
  • Fax: 877-888-8252
Mailing address:
  • Phone: 800-507-0850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RAMATOU ISMAILA
Title or Position: PRESIDENT
Credential:
Phone: 800-507-0850