# 1ST HOME CARE OF VA., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104537042
- **Authorized official:** SHAQUANNA TIMISHA GODWIN (ADMINISTRATOR)
- **Authorized official phone:** (757) 937-5991

## Contact information

- **Practice address:** 600 W 25TH ST STE 6, NORFOLK, VA 23517-1212
- **Practice address phone:** (757) 937-5991
- **Practice address fax:** (757) 937-9118
- **Mailing address:** 600 W 25TH ST STE 6, NORFOLK, VA 23517-1212
- **Mailing address phone:** (757) 937-5991
- **Mailing address fax:** (757) 937-9118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2022
- **Last updated:** 12/12/2022