Most Relevant Information
Provider Data
| NPI Number: | 1003523382 |
| Provider Name: | LYDIA HARRIS HOMECARE PROVIDER |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: | HCO-212420 |
Most Important Dates
| Enumeration Date: | 11/04/2022 |
| Last Updated: | 11/04/2022 |
Provider Practice Location
5901 KINGSTOWNE VILLAGE PKWY STE 201
ALEXANDRIA
VA
223155882
Practice Location Phone/Fax
| Phone: | 7037183551 |
| Fax: | 7034179931 |
Provider Mailing Location
5901 KINGSTOWNE VILLAGE PKWY STE 201
ALEXANDRIA
VA
223155882
Provider Mailing Phone/Fax
| Phone: | 7037183551 |
| Fax: | 7034179931 |