Provider Demographics
NPI:1285321513
Name:SUCCESSFUL OUTSOURCING SOLUTIONS LLC
Entity type:Organization
Organization Name:SUCCESSFUL OUTSOURCING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANDANA
Authorized Official - Middle Name:S
Authorized Official - Last Name:KIMIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-585-1401
Mailing Address - Street 1:6010 EXECUTIVE BLVD STE 501
Mailing Address - Street 2:
Mailing Address - City:N BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3842
Mailing Address - Country:US
Mailing Address - Phone:703-585-1401
Mailing Address - Fax:
Practice Address - Street 1:6010 EXECUTIVE BLVD STE 501
Practice Address - Street 2:
Practice Address - City:N BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-3842
Practice Address - Country:US
Practice Address - Phone:703-585-1401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care