Organization
SHANA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSES KHEDI (OWNER/PRESIDENT)
(667) 200-6921
Entity
Organization
Contact information
Practice address
5680 KING CENTRE DR STE 600, ALEXANDRIA, VA 22315-5755
(667) 200-6921
Mailing address
11202 AVALANCHE WAY UNIT B, COLUMBIA, MD 21044-2972
(667) 200-6921
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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