Organization · NPI-2

Care2 Residential Services, LLC

Home Health · Chesapeake, VA

NPI number1629515929
StatusActive
Last updated in NPPESOct 22, 2018

Details

NPI
1629515929
Entity type
Organization (NPI-2)
Legal business name
Care2 Residential Services, LLC
Organization subpart
No
Enumeration date
Jan 24, 2017
Last updated
Oct 22, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health–VAYes
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2585VA

Practice location

732 Eden Way N # 266
Chesapeake, VA 23320-2798

Phone 757-739-0777

Mailing address

732 Eden Way N # 266
Chesapeake, VA 23320-2798

Phone 757-739-0777

Authorized official

Adrian Brown
Qidp
7577390777

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