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Individual

MRS. DESIREE S ADDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
131 SOLOMONS RD, FORT GREGG ADAMS, VA 23801-1482
(413) 347-2002
Mailing address
131 SOLOMONS RD, FORT GREGG ADAMS, VA 23801-1482
(413) 347-2002

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002103978
VA
174200000X
Meals Provider
0002103978
VA
251E00000X
Home Health Agency
0002103978
VA
376J00000X
Homemaker
385H00000X
Respite Care

Other

Enumeration date
11/20/2023
Last updated
11/21/2023
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