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Anastasie Mbono
Home Health Agency in Charles Town, West Virginia
NPI 1487237400

Anastasie Mbono is a Home Health Agency based in Odenton, WV. Anastasie Mbono practices in Charles Town, WV. The NPI Number for Anastasie Mbono is 1487237400 and holds a License No. (West Virginia).

The current practice location address for Anastasie Mbono is 207 W Washington St, Charles Town, WV and can be reached out via phone at 304-724-2135 and via fax at 304-724-2137.

Location: 207 W Washington St, Charles Town, WV, 21113-2140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487237400
Provider Name
Anastasie Mbono
Credential
Provider Entity Type
Individual
Gender
Female
Address
207 W Washington St, Charles Town, WV, 21113-2140
Phone Number
304-724-2135
Fax Number
304-724-2137
Provider Enumeration Date
04/29/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LP298832 01 MD NURSING LICENSE
institution
Provider Business Practice Location Address Details
Address
207 W Washington St
City
Charles Town
State
West Virginia
Zip
25414-1531
Phone Number
304-724-2135
Fax Number
304-724-2137
person
Provider Business Mailing Address Details
Address
207 W Washington St
City
Charles Town
State
West Virginia
Zip
25414-1531
Phone Number
304-724-2135
Fax Number
304-724-2137
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(West Virginia)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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