Organization
VISTA HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL SANTA CHACHA (CEO)
(240) 418-6459
Entity
Organization
Contact information
Practice address
6411 ORCHARD AVE, #205, TAKOMA PARK, MD 20912-4712
(202) 651-1972
Mailing address
6411 ORCHARD AVE, #205, TAKOMA PARK, MD 20912-4712
(202) 651-1972
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NSA-0297
DC
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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