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Organization
TIDEWATER PCA TRAINING
Active
Organization
TIDEWATER PCA TRAINING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLETTE CADORE (OWNER DIRECTOR)
(757) 675-7270
Entity
Organization
Contact information
Practice address
4605 PEMBROKE LAKE CIR, SUITE 303, VIRGINIA BEACH, VA 23455-6434
(757) 675-7270
Mailing address
4605 PEMBROKE LAKE CIR, SUITE 303, VIRGINIA BEACH, VA 23455-6434
(757) 675-7270
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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