Provider Demographics
NPI:1780307751
Name:TONIQUA LASHAY'S HOMECARE LLC
Entity type:Organization
Organization Name:TONIQUA LASHAY'S HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SABINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-699-4259
Mailing Address - Street 1:1936 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5128
Mailing Address - Country:US
Mailing Address - Phone:540-699-4259
Mailing Address - Fax:301-263-7162
Practice Address - Street 1:1936 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5128
Practice Address - Country:US
Practice Address - Phone:540-699-4259
Practice Address - Fax:301-263-7162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health