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Organization
EVEREADY HOME CARE, LLC
Active
Organization
EVEREADY HOME CARE, LLC
Active
Other names
Eveready Home Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER OBENG MPH (ADMINISTRATOR)
(703) 496-4300
Entity
Organization
Contact information
Practice address
3509 WAVERLY DR, FREDERICKSBURG, VA 22407-6848
(703) 496-4300
(855) 256-4003
Mailing address
17603 MAIN STREET, DUMFRIES, VA 22026-2470
(703) 496-4300
(855) 256-4003
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
3140N1450X
Pediatric Skilled Nursing Facility
—
NULL
385H00000X
Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205246022
—
VA
Enumeration date
08/27/2021
Last updated
08/27/2021
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