PROFESSIONAL HOMEHLTHCARE ASSO

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

497578

Ownership Type:

Proprietary

Date Certified:

01-16-2003

Address:

5852 MAPLEDALE PLAZA

City, State, Zip:

WOODBRIDGE , VA 22193

County:

PRINCE WILLIAM

Country:

Phone:

7035807192

Fax:

General Email:

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