Organization
WASHINGTON HOME HEALTH AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATASHA NICOLE WASHINGTON (OWNER)
(601) 218-7280
Entity
Organization
Contact information
Practice address
3402 WISCONSIN AVE STE 10, VICKSBURG, MS 39180-5378
(601) 218-7280
Mailing address
3402 WISCONSIN AVE STE 10, VICKSBURG, MS 39180-5378
(601) 218-7280
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MS
385H00000X
Respite Care
—
MS
Other
Enumeration date
11/16/2016
Last updated
07/21/2022
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