Provider Demographics
NPI:1700279668
Name:ALLIANCE NURSES FOR HOME HEALTH AND WELLNESS, L.L.C.
Entity Type:Organization
Organization Name:ALLIANCE NURSES FOR HOME HEALTH AND WELLNESS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEWDIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MPH, MS
Authorized Official - Phone:571-215-3156
Mailing Address - Street 1:10523 WEST DR STE A
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-4284
Mailing Address - Country:US
Mailing Address - Phone:571-215-3156
Mailing Address - Fax:
Practice Address - Street 1:10523 WEST DR STE A
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-4284
Practice Address - Country:US
Practice Address - Phone:571-215-3156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO151259251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health