# DWELT GROUP HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dwelt Home Healthcare LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174160048
- **Authorized official:** CHRISTELLE ISAMBO (DIRECTOR)
- **Authorized official phone:** (571) 402-7989

## Contact information

- **Practice address:** 15125 CARDIN PL, WOODBRIDGE, VA 22193-5338
- **Practice address phone:** (571) 402-7989
- **Mailing address:** 15125 CARDIN PL, WOODBRIDGE, VA 22193-5338
- **Mailing address phone:** (571) 402-7989

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2019
- **Last updated:** 12/10/2019