MEDICARE: ABSOLUTE COMFORT HOME HEALTHCARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1669846853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE COMFORT HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1800 DIAGONAL RD
Second Line	:	SUITE 600
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2840
Country	:	US
Telephone Number	:	703-647-7452
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 DIAGONAL RD
Second Line	:	SUITE 600
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2840
Country	:	US
Telephone Number	:	703-647-7452
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SETH GYAMFI
Credential	:
Telephone Number	:	703-647-7452

Provider Enumeration Date	:	11/25/2015
Last Update Date	:	11/25/2015

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