# AMEN HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amen homecare LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710604913
- **Authorized official:** MUSSE LAIEKE ADMINSTRATER (ADMINISTER)
- **Authorized official phone:** (703) 282-9551

## Contact information

- **Practice address:** 5285 SHAWNEE RD, SUITE \#575 B, ALEXANDRIA, VA 22312
- **Practice address phone:** (703) 282-9551
- **Practice address fax:** (703) 879-2425
- **Mailing address:** 5285 SHAWNEE RD, SUITE \#575 B, ALEXANDRIA, VA 22312
- **Mailing address phone:** (703) 282-9551
- **Mailing address fax:** (703) 879-2425

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2022
- **Last updated:** 10/27/2022