# MILES FAMILY SUPPORT SERVICES

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

## Provider details

- **NPI number:** 1275373649
- **Authorized official:** RANDA LAWRENCE MILES (CEO)
- **Authorized official phone:** (757) 904-3759

## Contact information

- **Practice address:** 811 JUNIPER CRES STE 2, CHESAPEAKE, VA 23320-2633
- **Practice address phone:** (757) 904-3759
- **Practice address fax:** (757) 904-1738
- **Mailing address:** PO BOX 2681, CHESAPEAKE, VA 23327-2681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2024
- **Last updated:** 05/31/2024