Organization
RED SEA HOMECARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH WAN (CEO)
(703) 863-9728
Entity
Organization
Contact information
Practice address
1520 BELLE VIEW BLVD APT 3121, ALEXANDRIA, VA 22307-6530
(703) 863-9728
(855) 272-5188
Mailing address
1602 BELLE VIEW BLVD APT 3121, ALEXANDRIA, VA 22307-6531
(703) 863-9728
(855) 272-5188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
291U00000X
Clinical Medical Laboratory
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/14/2020
Last updated
12/14/2022
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