Organization
HERITAGE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENSA ERENNA (ADMINISTRATOR)
(703) 409-2990
Entity
Organization
Contact information
Practice address
1940 DUKE ST, SUITE 200, ALEXANDRIA, VA 22314-3451
(571) 294-1410
Mailing address
1940 DUKE ST, SUITE 200, ALEXANDRIA, VA 22314-3451
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCO-141019
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003244500
—
VA
Enumeration date
12/12/2013
Last updated
12/12/2013
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