Organization
MERRY HOME HEALTH CARE LL C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOWZIA H M ESSE MPH (ADMINSTRATOR)
(703) 597-2175
Entity
Organization
Contact information
Practice address
6000 STEVENSON AVE STE G, ALEXANDRIA, VA 22304-3563
(703) 370-1980
(703) 212-7236
Mailing address
6000 STEVENSON AVE STE G, ALEXANDRIA, VA 22304-3563
(703) 370-1980
(703) 212-7236
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/11/2018
Last updated
01/23/2019
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