Organization · NPI-2

"wings Of Trinity" Home Health Care

Home Health · Suffolk, VA

NPI number1043765118
StatusActive
Last updated in NPPESAug 18, 2016

Details

NPI
1043765118
Entity type
Organization (NPI-2)
Legal business name
"wings Of Trinity" Home Health Care
Organization subpart
No
Enumeration date
Aug 18, 2016
Last updated
Aug 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

1121 Custis Rd
Suffolk, VA 23434-3311

Phone 757-334-9600

Mailing address

1121 Custis Rd
Suffolk, VA 23434-3311

Phone 757-334-9600

Authorized official

Tawanne S Eley
Owner #1
7577392040

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