NPI 1720128440

Nova Elderly Home Care

Organisation Point of Service Alexandria, VA

Practice location

Address: 85 S Bragg St STE 200e, Alexandria, VA 22312-2793
Phone: (703) 333-5086
Fax: (703) 333-5892

Authorised official

Name: Tewodros W Eyob
Title: Director
Phone: (703) 333-5086

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence HCO07376 (VA)

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Registry record

NPI: 1720128440
Entity type: Organization
NPI issued: 8 Feb 2007
Record last updated: 21 May 2015

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.