# ELKHART ASSISTED LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elkhart Home Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013485234
- **Authorized official:** VALENCIA KELLY (OWNER/PRESIDENT)
- **Authorized official phone:** (757) 739-5020

## Contact information

- **Practice address:** 2900 CHESTNUT ST, PORTSMOUTH, VA 23704-7058
- **Practice address phone:** (757) 739-5020
- **Mailing address:** 2900 CHESTNUT ST, PORTSMOUTH, VA 23704-7058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2018
- **Last updated:** 11/06/2018