# RED SEA HOMECARE AGENCY LLC

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

## Provider details

- **NPI number:** 1225657760
- **Authorized official:** HANNAH WAN (CEO)
- **Authorized official phone:** (703) 863-9728

## Contact information

- **Practice address:** 1520 BELLE VIEW BLVD APT 3121, ALEXANDRIA, VA 22307-6530
- **Practice address phone:** (703) 863-9728
- **Practice address fax:** (855) 272-5188
- **Mailing address:** 1602 BELLE VIEW BLVD APT 3121, ALEXANDRIA, VA 22307-6531
- **Mailing address phone:** (703) 863-9728
- **Mailing address fax:** (855) 272-5188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/14/2020
- **Last updated:** 12/14/2022