KINGDOM CARE ASSOCIATES, LLC

PORTSMOUTH, VA
NPI1821687096
Entity TypeOrganization
Authorized ContactPATRECE SCOTT
Owner
757-319-3662
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2021-01-13
Last Update Date2021-04-13
Business Address
KINGDOM CARE ASSOCIATES, LLC
3630 WESTERN BRANCH BLVD
PORTSMOUTH, VA 23707-2534
Phone number: 757-319-3662
Mailing Address
KINGDOM CARE ASSOCIATES, LLC
1517 CARSON CRES E
PORTSMOUTH, VA 23701-3111
Phone number: 757-319-3662
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