# HOMEBASED HOMESERVICES CAREGIVER

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

## Provider details

- **NPI number:** 1194112565
- **Authorized official:** MR. RAYMOND E ODEMNS JR. (OWNER)
- **Authorized official phone:** (240) 350-3053

## Contact information

- **Practice address:** 1940 DUKE ST, SUITE 200, ALEXANDRIA, VA 22314-3451
- **Practice address phone:** (703) 553-2536
- **Practice address fax:** (703) 548-9446
- **Mailing address:** 1940 DUKE ST, SUITE 200, ALEXANDRIA, VA 22314-3451
- **Mailing address phone:** (703) 553-2536
- **Mailing address fax:** (703) 548-9446

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2015
- **Last updated:** 04/23/2015