Organization
MARIKIEL HOME HEALTHCARE AGENCY INC.
Active
Organization
MARIKIEL HOME HEALTHCARE AGENCY INC.
Active
Other names
Marikiel Home Healthcare Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOUKARI SAMURA (PRESIDENT)
(571) 501-8001
Entity
Organization
Contact information
Practice address
5300 SHAWNEE RD STE 300, ALEXANDRIA, VA 22312-2399
(571) 501-8001
Mailing address
5300 SHAWNEE RD STE 300, ALEXANDRIA, VA 22312-2399
(571) 501-8001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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