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1134680960
ON BEHALF OF GOD LLC
CHESAPEAKE, VA
NPI
1134680960
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Entity Type
Organization
Authorized Contact
TRAVIS JOHNSON
Owner
757-401-0618
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2019-03-26
Last Update Date
2019-12-11
Business Address
ON BEHALF OF GOD LLC
5012 HONEYSUCKLE LN APT 207
CHESAPEAKE, VA 23321-3275
Phone number: 757-401-0618
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Mailing Address
ON BEHALF OF GOD LLC
505 CUMBERLAND AVE
PORTSMOUTH, VA 23704
Phone number: 757-392-3011
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