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NPI Code Detail

MEDICARE: HOSPICE OF AMERICAN HEALTH CARE PROFESSIONALS

MEDICARE: HOSPICE OF AMERICAN HEALTH CARE PROFESSIONALS
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
1251G00000XCommunity Based Hospice Care Agency491561VA

General Provider Information

NPI Number : 1962635821
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE OF AMERICAN HEALTH CARE PROFESSIONALS
Provider Business Mailing Address
First Line : 120 BEULAH RD NE
Second Line : #201
City : VIENNA
State : VA
Zip : 22180-4745
Country : US
Telephone Number : 703-319-3804
Fax Number :
Provider Business Practice Location Address
First Line : 120 BEULAH RD NE
Second Line : #201
City : VIENNA
State : VA
Zip : 22180-4745
Country : US
Telephone Number : 703-319-3804
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. CLISHIA TAYLOR
Credential :
Telephone Number : 703-319-3804
Provider Enumeration Date : 08/26/2009
Last Update Date : 09/04/2009

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Directions to “HOSPICE OF AMERICAN HEALTH CARE PROFESSIONALS ” Practice Location

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