Organization
FAMILY HORIZONS HOME HEALTH CARE AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIEL JACKSON (ADMINISTRATOR)
(540) 318-8035
Entity
Organization
Contact information
Practice address
205 TYLER VON WAY, SUITE 104, FREDERICKSBURG, VA 22405-4517
(540) 318-8035
(540) 318-6576
Mailing address
205 TYLER VON WAY, SUITE 104, FREDERICKSBURG, VA 22405-4517
(540) 318-8035
(540) 318-6576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WH1000X
Hospice Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
01/27/2011
Last updated
09/18/2014
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