Organization
WONDERS HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMUELLA KANU (OFFICE ADMINISTRATOR)
(571) 397-8405
Entity
Organization
Contact information
Practice address
4810 BEAUREGARD ST STE G2, ALEXANDRIA, VA 22312-1709
(571) 397-8405
Mailing address
4810 BEAUREGARD ST STE G2, ALEXANDRIA, VA 22312-1709
(571) 397-8405
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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