A Different Clock Agency LLC
In Home Supportive Care in Chesapeake, VA. Organization (NPI-2).
NPI number1831795087
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1831795087
- Entity type
- Organization (NPI-2)
- Legal business name
- A Different Clock Agency LLC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2020
- Certification date
- Oct 15, 2024
- Last updated
- Oct 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Practice location
1039 Jackson AveChesapeake, VA 23324-2416
Phone 757-676-2986
Mailing address
1039 Jackson AveChesapeake, VA 23324-2416
Phone 757-676-2986
Authorized official
Otelia M Mcfarland
Owner
7576762986
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