# DOXA HEALTHCARE AGENCY LLC

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

## Provider details

- **NPI number:** 1568347144
- **Authorized official:** JACQUELINE BRUCE-TAGOE RN (DIRECTOR OF NURSING/ CO-OWNER)
- **Authorized official phone:** (703) 919-5815

## Contact information

- **Practice address:** 4216 EVERGREEN LN STE 133, ANNANDALE, VA 22003-3256
- **Practice address phone:** (703) 919-5815
- **Mailing address:** 4216 EVERGREEN LN STE 133, ANNANDALE, VA 22003-3256
- **Mailing address phone:** (703) 919-5815

## Taxonomy

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

## Other

- **Enumeration date:** 08/11/2025
- **Last updated:** 08/11/2025
