Healthcare Provider Details
I. General information
NPI: 1467619569
Provider Name (Legal Business Name): ANNA HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2008
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15927 PEACH WALKER DR
BOWIE MD
20716-1665
US
IV. Provider business mailing address
15927 PEACH WALKER DR
BOWIE MD
20716-1665
US
V. Phone/Fax
- Phone: 202-486-9496
- Fax:
- Phone: 202-486-9496
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | DC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DAVIDSON
D
YUH
Title or Position: PRESIDENT
Credential:
Phone: 202-491-9301