# MRS. DESIREE S ADDY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1164297214
- **Gender:** F
- **Credential:** LPN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 0002103978 | VA | Yes |
| 174200000X | Meals Provider | 0002103978 | VA | — |
| 251E00000X | Home Health Agency | 0002103978 | VA | — |
| 376J00000X | Homemaker | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 11/20/2023
- **Last updated:** 11/21/2023