Organization
ACTIVE HOME HEALTHCARE LLC.
Active
Other names
Active Home Healthcare LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
TIWAUNDA JOSEPH (ADMINISTRATIVE)
(337) 802-5764
Entity
Organization
Contact information
Practice address
3 JUSTIN CT, STAFFORD, VA 22554-7676
(337) 802-5764
Mailing address
3 JUSTIN CT, STAFFORD, VA 22554-7676
(337) 802-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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