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NPI Code Detail

MEDICARE: ALL PEOPLE HOME LLC

MEDICARE: ALL PEOPLE HOME 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
1311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1073160578
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL PEOPLE HOME LLC
Provider Business Mailing Address
First Line : 8213 CALM POND CT
Second Line :
City : MANASSAS PARK
State : VA
Zip : 20111-2343
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8213 CALM POND CT
Second Line :
City : MANASSAS PARK
State : VA
Zip : 20111-2343
Country : US
Telephone Number : 540-755-9305
Fax Number :
Authorized Official
Title or Position : ASSISTANT MANAGER
Name : PAUL NIYUNGEKO
Credential :
Telephone Number : 540-755-9305
Provider Enumeration Date : 08/20/2019
Last Update Date : 08/28/2019

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Directions to “ALL PEOPLE HOME LLC ” Practice Location

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