# MCDOLE PERSONAL CARE LLC

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

## Provider details

- **NPI number:** 1396224846
- **Authorized official:** CATRINA BANKS (ADMINISTRATOR)
- **Authorized official phone:** (757) 230-0341

## Contact information

- **Practice address:** 4500 COLLEY AVE STE J, NORFOLK, VA 23508-2031
- **Practice address phone:** (757) 230-0341
- **Practice address fax:** (757) 257-0321
- **Mailing address:** 4500 COLLEY AVE STE J, NORFOLK, VA 23508-2031
- **Mailing address phone:** (757) 230-0341
- **Mailing address fax:** (757) 257-0321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/07/2018
- **Last updated:** 08/07/2018