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Organization
EXCELLENT CARE HOME HEALTH SERVICES LLC
Active
Organization
EXCELLENT CARE HOME HEALTH SERVICES LLC
Active
Other names
Destiny Home Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE AKHOASEGBE EHICHIOYA RN, PHMNP, PHD (OWNER)
(703) 973-0176
Entity
Organization
Contact information
Practice address
1684 ROSEDALE CT, WOODBRIDGE, VA 22191-3014
(571) 359-6335
(571) 428-2027
Mailing address
1684 ROSEDALE CT, WOODBRIDGE, VA 22191-3014
(703) 973-0176
(571) 428-2027
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-161374
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568820603
—
VA
Enumeration date
02/03/2016
Last updated
05/13/2023
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