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Organization
ERGO HOME HEALTH
Active
Organization
ERGO HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTLAND WYATT (COO)
(301) 567-6400
Entity
Organization
Contact information
Practice address
1250 CONNECTICUT AVE NW STE 700, WASHINGTON, DC 20036-2657
(202) 261-6598
(202) 315-2545
Mailing address
1250 CONNECTICUT AVE NW STE 700, WASHINGTON, DC 20036-2657
(202) 261-6598
(202) 315-2545
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
NULL
163WI0500X
Infusion Therapy Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/22/2019
Last updated
01/10/2024
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