Provider Demographics
NPI:1952538308
Name:VIRTUOUS HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:VIRTUOUS HOME HEALTHCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:COMFORT
Authorized Official - Middle Name:
Authorized Official - Last Name:AVOVABEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:571-594-4502
Mailing Address - Street 1:10432 BALLS FORD RD
Mailing Address - Street 2:SUITE # 310
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2514
Mailing Address - Country:US
Mailing Address - Phone:703-881-7631
Mailing Address - Fax:703-881-7632
Practice Address - Street 1:10432 BALLS FORD RD
Practice Address - Street 2:SUITE # 310
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2514
Practice Address - Country:US
Practice Address - Phone:703-881-7631
Practice Address - Fax:703-881-7632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-12
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health