PROVIDER SOURCE HOME HEALTH CARE

NORFOLK, VA
NPI1396330890
Entity TypeOrganization
Authorized ContactKENA DICKENS
Administrator
757-324-2979
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2021-03-05
Last Update Date2021-03-05
Business Address
PROVIDER SOURCE HOME HEALTH CARE
2211 PRETTY LAKE AVE UNIT 403
NORFOLK, VA 23518-1047
Phone number: 757-324-2979
Mailing Address
PROVIDER SOURCE HOME HEALTH CARE
2211 PRETTY LAKE AVE UNIT 403
NORFOLK, VA 23518-1047
Phone number: 757-324-2979
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