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General NPI Number Information
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NPI Number | 1528838786
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Entity Type | Organization
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Legal Business Name | DESTINY HEALTHCARE CORPORATION
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 04/06/2024
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Provider Practice Location Address
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Address Line | 417 W BROAD ST STE 202
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3326
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Country | US
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Telephone | 240-870-6477
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Fax | 240-208-1269
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Provider Business Mailing Address
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Address Line | 417 W BROAD ST STE 202
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3326
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Country | US
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Telephone | 240-870-6477
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Fax | 240-208-1269
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AUSTIN FELIX
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Credential |
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Telephone | 240-870-6477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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