# DERAI HEALTH CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1215363718
- **Authorized official:** MARIAN EDIONWELE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (757) 338-4973

## Contact information

- **Practice address:** 646 PROSPERITY WAY, CHESAPEAKE, VA 23320-7029
- **Practice address phone:** (757) 312-0434
- **Mailing address:** 646 PROSPERITY WAY, CHESAPEAKE, VA 23320-7029
- **Mailing address phone:** (757) 312-0434

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2013
- **Last updated:** 09/17/2013