# BETHESDACARE-HOUSEOFMERCY,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** In Home Care Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902273188
- **Authorized official:** MRS. NABUNYI HONORINE MWAMIZINZI BS (ADMINISTRATOR)
- **Authorized official phone:** (703) 867-2141

## Contact information

- **Practice address:** 11 JOSHUA RD, STAFFORD, VA 22556-3608
- **Practice address phone:** (540) 318-0484
- **Practice address fax:** (703) 337-0331
- **Mailing address:** PO BOX 22, STAFFORD, VA 22555-0022
- **Mailing address phone:** (540) 318-0484
- **Mailing address fax:** (703) 337-0331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO161329 | VA | Yes |

## Other

- **Enumeration date:** 08/24/2015
- **Last updated:** 08/24/2015