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Organization
LYFE OF LOVE HOME HEALTH CARE LLC
Active
Organization
LYFE OF LOVE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANELL RIDDICK (ADMINISTRATOR)
(757) 202-2321
Entity
Organization
Contact information
Practice address
3228 BROOKBRIDGE RD, VIRGINIA BEACH, VA 23452-4907
(757) 971-0610
Mailing address
1509 LAKE CHRISTOPHER DR, VIRGINIA BEACH, VA 23464-7212
(757) 202-2321
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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