Organization · NPI-2

Ajewell Healthcare Agency, LLC

Home Health · Newport News, VA

NPI number1740641109
StatusActive
Last updated in NPPESMar 14, 2016

Details

NPI
1740641109
Entity type
Organization (NPI-2)
Legal business name
Ajewell Healthcare Agency, LLC
Organization subpart
No
Enumeration date
Mar 14, 2016
Last updated
Mar 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

5006 Jefferson Ave
Newport News, VA 23605-3204

Phone 757-240-4440 · Fax 757-706-3568

Mailing address

5006 Jefferson Ave
Newport News, VA 23605-3204

Phone 757-240-4440 · Fax 757-706-3568

Authorized official

Lynette Quartlbaum
Director
7572404440

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