# MID-ATLANTIC HOMECARE

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

## Provider details

- **NPI number:** 1265765879
- **Authorized official:** LE ROY HALSTEAD RN (PRINCIPAL)
- **Authorized official phone:** (757) 376-6882

## Contact information

- **Practice address:** 2003 KELSEY BAY CT, CHESAPEAKE, VA 23323-5346
- **Practice address phone:** (757) 376-6882
- **Practice address fax:** (757) 558-3633
- **Mailing address:** 2003 KELSEY BAY CT, CHESAPEAKE, VA 23323-5346
- **Mailing address phone:** (757) 376-6882
- **Mailing address fax:** (757) 558-3633

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2009
- **Last updated:** 01/05/2010