Organization
AGNES HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EUNJU JI (ADMINISTRATOR)
(703) 642-5000
Entity
Organization
Contact information
Practice address
14631 LEE HWY STE 103, CENTREVILLE, VA 20121-5825
(703) 642-5000
(703) 642-5005
Mailing address
14631 LEE HWY STE 103, CENTREVILLE, VA 20121-5825
(703) 642-5000
(703) 642-5005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-161401
VA
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/04/2016
Last updated
03/25/2019
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