# GRAND CARE HOME HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1255815775
- **Authorized official:** TREYVOND LOCKHART (CEO)
- **Authorized official phone:** (757) 386-3070

## Contact information

- **Practice address:** 3100 LONDON BLVD STE 3, PORTSMOUTH, VA 23707-3402
- **Practice address phone:** (757) 386-3070
- **Practice address fax:** (757) 393-1679
- **Mailing address:** 3100 LONDON BLVD STE 3, PORTSMOUTH, VA 23707-3402
- **Mailing address phone:** (757) 386-3070
- **Mailing address fax:** (757) 393-1679

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2018
- **Last updated:** 09/20/2018