Provider Demographics
NPI:1528387388
Name:VIRGINIA HEALTHCARE SERVICES OF FREDERICKSBURG
Entity Type:Organization
Organization Name:VIRGINIA HEALTHCARE SERVICES OF FREDERICKSBURG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:F
Authorized Official - Last Name:ELSAYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-333-5288
Mailing Address - Street 1:607 JEFFERSON DAVIS HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-8406
Mailing Address - Country:US
Mailing Address - Phone:540-479-8333
Mailing Address - Fax:540-479-8336
Practice Address - Street 1:607 JEFFERSON DAVIS HWY STE 101
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-8406
Practice Address - Country:US
Practice Address - Phone:540-479-8333
Practice Address - Fax:540-479-8336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-326PC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health