MEDICARE: REMEDY HOME HEALTH CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1154759819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMEDY HOME HEALTH CORP

Provider Business Mailing Address
First Line	:	3433 BRAMBLETON AVE
Second Line	:	SUITE 201-C
City	:	ROANOKE
State	:	VA
Zip	:	24018-6515
Country	:	US
Telephone Number	:	305-384-0431
Fax Number	:	866-470-3118

Provider Business Practice Location Address
First Line	:	3433 BRAMBLETON AVE
Second Line	:	SUITE 201-C
City	:	ROANOKE
State	:	VA
Zip	:	24018-6515
Country	:	US
Telephone Number	:	305-384-0431
Fax Number	:	866-470-3118

Authorized Official
Title or Position	:	PRESIDENT
Name	:	REMEDIOS IGUARAN
Credential	:
Telephone Number	:	305-384-0431

Provider Enumeration Date	:	10/16/2013
Last Update Date	:	07/28/2015

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