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Organization
TIDEWATER HEALTHCARE SERVICES, INC
Active
Organization
TIDEWATER HEALTHCARE SERVICES, INC
Active
Other names
Brightstar Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES MICHAEL WALTON (PRESIDENT)
(757) 227-4047
Entity
Organization
Contact information
Practice address
1214 PROGRESSIVE DR, SUITE 102, CHESAPEAKE, VA 23320-2848
(757) 227-4047
(757) 227-4109
Mailing address
1214 PROGRESSIVE DR, SUITE 102, CHESAPEAKE, VA 23320-2848
(757) 227-4047
(757) 227-4109
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
Other
Enumeration date
03/14/2009
Last updated
04/07/2016
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