Organization
ESPRIT HOMECARE LLC
Active
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
251F00000X
Home Infusion Agency
Primary
0201002968
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008515522
—
VA
01
—
284672
ANTHEM BCBS
VA
01
—
299610
AMERIGROUP
VA
01
—
485019
NCPPO
VA
01
—
573366
AETNA
VA
Enumeration date
11/07/2006
Last updated
06/05/2008
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