Provider Demographics
NPI:1710532437
Name:VETERAN'S HOLISTIC HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:VETERAN'S HOLISTIC HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-856-2827
Mailing Address - Street 1:8850 RICHMOND HWY STE 207-3
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-1586
Mailing Address - Country:US
Mailing Address - Phone:571-347-7431
Mailing Address - Fax:
Practice Address - Street 1:8850 RICHMOND HWY STE 207-3
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-1586
Practice Address - Country:US
Practice Address - Phone:571-347-7431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health