Organization
HOMEBASED HOMESERVICES CAREGIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND E ODEMNS JR. (OWNER)
(240) 350-3053
Entity
Organization
Contact information
Practice address
1940 DUKE ST, SUITE 200, ALEXANDRIA, VA 22314-3451
(703) 553-2536
(703) 548-9446
Mailing address
1940 DUKE ST, SUITE 200, ALEXANDRIA, VA 22314-3451
(703) 553-2536
(703) 548-9446
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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