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Organization
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Organization
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Other names
Coney Island Homecare West Virgina Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON A PEART (CEO)
(866) 926-0035
Entity
Organization
Contact information
Practice address
14321 WINTER BREEZE DR, MIDLOTHIAN, VA 23113-2452
(719) 517-6905
(585) 502-1157
Mailing address
4299 SMITH RD, LOGANVILLE, GA 30052-2504
(888) 334-5966
(404) 678-1626
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
04/25/2024
Last updated
04/06/2026
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