NPI 1093403487
Premier Healthcare Firm
Practice location
- Address
- 106 Andrew Pl, Sterling, VA 20164-4803
- Phone
- (240) 907-1343
- Mailing address
- 585 Grove St STE 145, Herndon, VA 20170-4791
Authorised official
- Name
- Mark Wallace
- Title
- Account Manager
- Phone
- (703) 546-6626
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1093403487
- Entity type
- Organization
- NPI issued
- 25 Apr 2023
- Record last updated
- 25 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.