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Organization
PEARTREE HEALTH CARE
Active
Organization
PEARTREE HEALTH CARE
Active
Other names
Peartree Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID DEANDRE PEARTREE CNA , MEDICATION AID (OWNER)
(757) 561-9876
Entity
Organization
Contact information
Practice address
1905 WOMACK DRIVE HAMPTON VA 23663, HAMPTON, VA 23663
(757) 561-9876
Mailing address
1905 WOMACK DRIVE HAMPTON VA 23663, HAMPTON, VA 23663
(757) 561-9876
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
3104A0625X
Assisted Living Facility (Mental Illness)
—
NULL
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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