Active Home Healthcare Llc.

NPI #1457017378 in Stafford, Virginia

Provider Information

NPI Number: 1457017378
Entity Type: Organization
Organization Name: Active Home Healthcare Llc.
Primary Specialty: Home Health
Enumeration Date: Nov 15, 2021
Last Updated: Nov 15, 2021

Practice Location

Address: 3 JUSTIN CT
City: Stafford
State: Virginia
ZIP Code: 22554-7676
Phone: (337) 802-5764

Authorized Official

Name: TIWAUNDA JOSEPH
Title: ADMINISTRATIVE
Phone: (337) 802-5764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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