Provider Demographics
NPI:1225497662
Name:RISALAH HOME HEALTH CARE
Entity Type:Organization
Organization Name:RISALAH HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDIRAHMAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:YASIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-238-4748
Mailing Address - Street 1:11140 ROCKVILLE PIKE STE 306
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3148
Mailing Address - Country:US
Mailing Address - Phone:301-845-3088
Mailing Address - Fax:
Practice Address - Street 1:11140 ROCKVILLE PIKE STE 306
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3148
Practice Address - Country:US
Practice Address - Phone:301-845-3088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-13
Last Update Date:2016-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health