# CORALEE HOME HEALTH AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093311607
- **Authorized official:** MELISSA HODGE (OWNER/FINANCIAL MANAGER)
- **Authorized official phone:** (703) 268-9869

## Contact information

- **Practice address:** 1011 KING STREET, SUITE B, ALEXANDRIA, VA 22314
- **Practice address phone:** (276) 352-0236
- **Mailing address:** 107 S WEST ST STE 567, ALEXANDRIA, VA 22314-2824
- **Mailing address phone:** (276) 352-0236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2020
- **Last updated:** 12/14/2020