Organization · NPI-2

Active Home Healthcare LLC.

Home Health · Stafford, VA

NPI number1457017378
StatusActive
Last updated in NPPESNov 15, 2021

Details

NPI
1457017378
Entity type
Organization (NPI-2)
Legal business name
Active Home Healthcare LLC.
Organization subpart
No
Enumeration date
Nov 15, 2021
Certification date
Nov 15, 2021
Last updated
Nov 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Other names

  • Active Home Healthcare LLC. (Doing Business As)

Practice location

3 Justin Ct
Stafford, VA 22554-7676

Phone 337-802-5764

Mailing address

3 Justin Ct
Stafford, VA 22554-7676

Phone 337-802-5764

Authorized official

Tiwaunda Joseph
Administrative
3378025764

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