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Organization

AMAZING HANDS HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. YVETTE V MIX NURSING (OWNER)
(240) 317-9037
Entity
Organization

Contact information

Practice address
7810 KIRBY CT, LUSBY, MD 20657
(410) 231-1777
(804) 597-0164
Mailing address
7810 KIRBY CT, LUSBY, MD 20657-4237
(410) 231-1777

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-15332
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HCO-15332
HUMANA
VA
05
HCO-15332
VA
Enumeration date
09/19/2014
Last updated
09/19/2014
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