Provider Demographics
NPI:1982047353
Name:COURTESY HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:COURTESY HEALTHCARE SERVICES
Other - Org Name:COURTESY HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:MBAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-428-2398
Mailing Address - Street 1:8809 SUDLEY RD
Mailing Address - Street 2:STE 223
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4749
Mailing Address - Country:US
Mailing Address - Phone:571-428-2398
Mailing Address - Fax:571-428-2399
Practice Address - Street 1:8850 RICHMOND HWY STE 207A
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-1594
Practice Address - Country:US
Practice Address - Phone:571-428-2398
Practice Address - Fax:571-428-2399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health