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Organization
CAREGIVERS CORNER LLC
Active
Organization
CAREGIVERS CORNER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERVONNE EVETTE BANKS MSG (GERONTOLOGIST/ADMINISTRATOR)
(757) 240-7928
Entity
Organization
Contact information
Practice address
11 PINE LAKE CT, HAMPTON, VA 23669-1200
(757) 240-7928
(757) 257-0017
Mailing address
4410 CLAIBORNE STREET STE 334, HAMPTON, VA 23666
(757) 240-7928
(757) 257-0017
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
120310
VA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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