Organization
MINERVA HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHADE GREEN BSN (DON)
(240) 603-5025
Entity
Organization
Contact information
Practice address
1310 VINCENT PL STE B, MC LEAN, VA 22101-3614
(240) 603-5025
(855) 639-0043
Mailing address
1310 VINCENT PL STE B, MC LEAN, VA 22101-3614
(240) 603-5025
(855) 639-0043
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
151193
VA
Other
Enumeration date
08/22/2014
Last updated
03/06/2024
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