Organization · NPI-2

1st Home Care Of Va., INC.

Home Health · Norfolk, VA

NPI number1104537042
StatusActive
Last updated in NPPESDec 12, 2022

Details

NPI
1104537042
Entity type
Organization (NPI-2)
Legal business name
1st Home Care Of Va., INC.
Organization subpart
No
Enumeration date
Dec 12, 2022
Certification date
Dec 12, 2022
Last updated
Dec 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

600 W 25th St Ste 6
Norfolk, VA 23517-1212

Phone 757-937-5991 · Fax 757-937-9118

Mailing address

600 W 25th St Ste 6
Norfolk, VA 23517-1212

Phone 757-937-5991 · Fax 757-937-9118

Authorized official

Shaquanna Timisha Godwin
Administrator
7579375991

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