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Organization
SHORELINE HEALTHCARE GROUP LLC
Active
Organization
SHORELINE HEALTHCARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI REID (MANAGER)
(757) 904-3490
Entity
Organization
Contact information
Practice address
848 GRANBY ST STE 205, NORFOLK, VA 23510-2009
(757) 904-3490
(757) 937-0341
Mailing address
2085 LYNNHAVEN PKWY STE 106-412, VIRGINIA BEACH, VA 23456-1497
(757) 904-3490
(757) 937-0341
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
09/03/2019
Last updated
01/28/2020
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