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Organization
ACTIVE HOME HEALTHCARE LLC.
Active
Organization
ACTIVE HOME HEALTHCARE LLC.
Active
Other names
Active Home Healthcare LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
TIWAUNDA JOSEPH (ADMINISTRATIVE)
(337) 802-5764
Entity
Organization
Contact information
Practice address
3 JUSTIN CT, STAFFORD, VA 22554-7676
(337) 802-5764
Mailing address
3 JUSTIN CT, STAFFORD, VA 22554-7676
(337) 802-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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