# EMMANUEL HOME CARE AGENCY

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

## Provider details

- **NPI number:** 1598070880
- **Authorized official:** MR. JOSEPH ADETUNJI (FINANCE MANAGER)
- **Authorized official phone:** (703) 660-6950

## Contact information

- **Practice address:** 6911 RICHMOND HWY, SUITE 245, ALEXANDRIA, VA 22306-1842
- **Practice address phone:** (703) 660-6950
- **Mailing address:** 6911 RICHMOND HWY, SUITE 245, ALEXANDRIA, VA 22306-1842
- **Mailing address phone:** (703) 660-6950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | HCO-12677 | VA | — |
| 225X00000X | Occupational Therapist | HC0-12677 | VA | — |
| 235Z00000X | Speech-Language Pathologist | HCO-12677 | VA | — |
| 251B00000X | Case Management Agency | HCO-12677 | VA | — |
| 251E00000X | Home Health Agency | HCO-11677 | VA | Yes |

## Other

- **Enumeration date:** 08/11/2010
- **Last updated:** 05/07/2012