Pan Homehealth Support Services LLC
Pan Homehealth Support Services LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Annandale, Virginia. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4201 John Marr Dr Ste 210Annandale, VA 22003-3204
Phone: (301) 437-7749
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1104500123 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cletus Fonmedig — Director · (301) 437-7749 |
| NPI enumerated | June 12, 2023 |
| Last updated in NPPES | June 12, 2023 |
| Certification date | June 10, 2023 |
| Mailing address | 4201 John Marr Dr Ste 210, Annandale, VA 22003-3204 |
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