Organization
EVEREADY HOME CARE, LLC
Active
Other names
Eveready Home Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER OBENG MPH (ADMINISTRATOR)
(703) 496-4300
Entity
Organization
Contact information
Practice address
3509 WAVERLY DR, FREDERICKSBURG, VA 22407-6848
(703) 496-4300
(855) 256-4003
Mailing address
17603 MAIN STREET, DUMFRIES, VA 22026-2470
(703) 496-4300
(855) 256-4003
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
385H00000X
Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205246022
—
VA
Enumeration date
08/27/2021
Last updated
08/27/2021
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