Provider Demographics
NPI:1700118049
Name:HOME HEALTH CARE SOLUTIONS AND STAFFING
Entity Type:Organization
Organization Name:HOME HEALTH CARE SOLUTIONS AND STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:AVALON
Authorized Official - Middle Name:M
Authorized Official - Last Name:MALLOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-953-3847
Mailing Address - Street 1:4112 WEEPING WILLOW CT
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-3555
Mailing Address - Country:US
Mailing Address - Phone:703-953-3847
Mailing Address - Fax:703-953-3847
Practice Address - Street 1:4112 WEEPING WILLOW CT
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-3555
Practice Address - Country:US
Practice Address - Phone:703-953-3847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health