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Organization
GROWTH HOME HEALTH CARE LLC
Active
Organization
GROWTH HOME HEALTH CARE LLC
Active
Other names
Growth Pediatric Home Health Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE D GAY (CEO)
(757) 774-8941
Entity
Organization
Contact information
Practice address
15064 CARROLLTON BLVD, CARROLLTON, VA 23314-3582
(757) 774-8941
Mailing address
15064 CARROLLTON BLVD, CARROLLTON, VA 23314-3582
(757) 774-8941
(757) 299-4801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073025425
NPI TYPE 1
VA
Enumeration date
02/09/2018
Last updated
08/19/2020
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