Organization
ELABORATE HOME HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE EYEGUE-SANDY DNP, APRN, CRNP (CEO/PRESIDENT)
(215) 594-9392
Entity
Organization
Contact information
Practice address
6413 RIVINGTON RD, SPRINGFIELD, VA 22152-2914
(703) 935-9442
Mailing address
6413 RIVINGTON RD, SPRINGFIELD, VA 22152-2914
(202) 294-8116
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
02/21/2021
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