MEDICARE: MANAGED HOME HEALTH

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	:	1831430420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANAGED HOME HEALTH

Provider Business Mailing Address
First Line	:	300 FOXCROFT AVE
Second Line	:	SUITE 101B, ROOM 2
City	:	MARTINSBURG
State	:	WV
Zip	:	25401-5341
Country	:	US
Telephone Number	:	703-431-3202
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 FOXCROFT AVE
Second Line	:	SUITE 101B, ROOM 2
City	:	MARTINSBURG
State	:	WV
Zip	:	25401-5341
Country	:	US
Telephone Number	:	703-431-3202
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MS. BETTY SALE COREY
Credential	:	R.N.
Telephone Number	:	703-431-3202

Provider Enumeration Date	:	03/07/2013
Last Update Date	:	03/07/2013

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Directions to “MANAGED HOME HEALTH ” Practice Location

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