Organization
FAMILY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREJE LEGESSE MD (ADMINSTRATOR)
(202) 853-5208
Entity
Organization
Contact information
Practice address
6120 KANSAS AVE NW, WASHINGTON, DC 20011
(571) 216-9984
Mailing address
6120 KANSAS AVE NW, WASHINGTON, DC 20011
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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