Organization
ESPRIT PERSONALCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZELALEM DAGNE (MANAGING DIRECTOR)
(703) 998-7400
Entity
Organization
Contact information
Practice address
4209 EVERGREEN LN STE 101, ANNANDALE, VA 22003-3210
(703) 998-7400
Mailing address
4209 EVERGREEN LN STE 101, ANNANDALE, VA 22003-3210
(703) 998-7400
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1527697
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P1801X
—
VA
05
—
385H00000X
—
VA
Enumeration date
06/24/2015
Last updated
06/24/2015
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