Organization · NPI-2

Amethyst Home Healthcare LLC

Home Health · Stafford, VA

NPI number1992576326
StatusActive
Last updated in NPPESJan 17, 2024

Details

NPI
1992576326
Entity type
Organization (NPI-2)
Legal business name
Amethyst Home Healthcare LLC
Organization subpart
No
Enumeration date
Jan 15, 2024
Certification date
Jan 17, 2024
Last updated
Jan 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
253Z00000X In Home Supportive Care––

Practice location

231 Garrisonville Rd Ste 205
Stafford, VA 22554-1603

Phone 571-250-9516

Mailing address

231 Garrisonville Rd Ste 205
Stafford, VA 22554-1603

Phone 571-250-9516

Authorized official

Darellyn Urenia Quansah
Owner
5712509516

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