Organization
ACTERA HEALTH INC.
Active
Other names
Active Living Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH JENKINS RN (ADMINISTRATOR)
(865) 406-1465
Entity
Organization
Contact information
Practice address
11809 LUCASVILLE RD, MANASSAS, VA 20112-4416
(571) 490-7600
Mailing address
11809 LUCASVILLE RD, MANASSAS, VA 20112-4416
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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