Provider Demographics
NPI:1174866099
Name:VALIANCE HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:VALIANCE HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:NAQUI
Authorized Official - Last Name:RIZVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-431-5509
Mailing Address - Street 1:3761 VENTURE DR
Mailing Address - Street 2:SUITE 260-P
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5528
Mailing Address - Country:US
Mailing Address - Phone:770-696-2225
Mailing Address - Fax:770-696-2257
Practice Address - Street 1:3761 VENTURE DR
Practice Address - Street 2:SUITE 260-P
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5528
Practice Address - Country:US
Practice Address - Phone:770-696-2225
Practice Address - Fax:770-696-2257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health