# SHANA HOME CARE LLC

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

## Provider details

- **NPI number:** 1427667799
- **Authorized official:** MOSES KHEDI (OWNER/PRESIDENT)
- **Authorized official phone:** (667) 200-6921

## Contact information

- **Practice address:** 5680 KING CENTRE DR STE 600, ALEXANDRIA, VA 22315-5755
- **Practice address phone:** (667) 200-6921
- **Mailing address:** 11202 AVALANCHE WAY UNIT B, COLUMBIA, MD 21044-2972
- **Mailing address phone:** (667) 200-6921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2020
- **Last updated:** 07/23/2020