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Organization

EMMANUEL HOME CARE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH ADETUNJI (FINANCE MANAGER)
(703) 660-6950
Entity
Organization

Contact information

Practice address
6911 RICHMOND HWY, SUITE 245, ALEXANDRIA, VA 22306-1842
(703) 660-6950
Mailing address
6911 RICHMOND HWY, SUITE 245, ALEXANDRIA, VA 22306-1842
(703) 660-6950

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
HCO-12677
VA
225X00000X
Occupational Therapist
HC0-12677
VA
235Z00000X
Speech-Language Pathologist
HCO-12677
VA
251B00000X
Case Management Agency
HCO-12677
VA
251E00000X
Home Health Agency
Primary
HCO-11677
VA

Other

Enumeration date
08/11/2010
Last updated
05/07/2012
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