Organization
ROSA MYSTICA PROFESSIONAL HOME HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NKECHI EKE (RN)
(682) 227-9815
Entity
Organization
Contact information
Practice address
1200 S COURTHOUSE RD APT 127, ARLINGTON, VA 22204-6258
(703) 826-9551
Mailing address
1200 S COURTHOUSE RD APT 127, ARLINGTON, VA 22204-6258
(703) 826-9551
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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