Organization
ESPRIT HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZELALEM B DAGNE (MANAGING DIRECTOR)
(703) 998-7400
Entity
Organization
Contact information
Practice address
750 MILLER DR SE, SUITE F1, LEESBURG, VA 20175-8916
(703) 777-3389
Mailing address
750 MILLER DR SE, SUITE F1, LEESBURG, VA 20175-8916
(703) 777-3389
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0206008438
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009116389
—
VA
01
—
208902
ANTHEM BCBS
VA
01
—
299610
AMERIGROUP
VA
01
—
485019
NCPPO
VA
01
—
573366
AETNA
VA
Enumeration date
10/25/2006
Last updated
06/05/2008
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