Healthcare Services 101

NPI 1457665630 - In Home Supportive Care - 253Z00000X

NPI Details
NPI 1457665630
Enumeration Date 07/30/2010
Last Updated 07/30/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RAQUEL MONTRELL RAQUEL
Position CEO
Phone (757) 809-3588
Fax
Practice Location
204 E. WASHINGTON ST
SUFFOLK VA, 23434-4514, US
Phone (757) 809-3588
Fax
Business Location
PO BOX 5588
SUFFOLK VA, 23435-0588, US
Phone (757) 809-3588
Fax (757) 809-3599
Toxanomy
Taxonomy Code 253Z00000X
License State Virginia
License Number 0001159829
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According to our database, Healthcare Services 101 NPI is 1457665630, taxonomy code is 253Z00000X and license number is 0001159829, license state is located at Virginia. Healthcare Services 101 physically located at 204 E. Washington St, Suffolk VA, 23434-4514. NPI Number 1033115704 has the healthcare provider type.

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1457665630 NPI number is provided on an as is basis without warranty of any kind. 1457665630 is maintained by the National Plan & Provider Enumeration System. The contents of Healthcare Services 101 are for informational purposes only.