Organization
WHITE OAKS HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL AMOH (CHIEF EXECUTIVE OFFICER)
(571) 529-2929
Entity
Organization
Contact information
Practice address
42603 GRAPHITE LN, CHANTILLY, VA 20152-2103
(571) 529-2929
Mailing address
42603 GRAPHITE LN, CHANTILLY, VA 20152-2103
(571) 529-2929
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/31/2024
Last updated
09/04/2024
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