Provider Demographics
NPI:1326576364
Name:FALL SPRINGS HOME AND HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:FALL SPRINGS HOME AND HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OWURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-474-7758
Mailing Address - Street 1:209 BRIGSTOCK DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-4542
Mailing Address - Country:US
Mailing Address - Phone:703-474-7758
Mailing Address - Fax:
Practice Address - Street 1:9720 CAPITAL CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-2044
Practice Address - Country:US
Practice Address - Phone:703-232-1517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-02
Last Update Date:2017-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health