# HEALTHCARE SERVICES 101

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

## Provider details

- **NPI number:** 1457665630
- **Authorized official:** MRS. RAQUEL MONTRELL HARRIS RN (CEO)
- **Authorized official phone:** (757) 809-3588

## Contact information

- **Practice address:** 204 E. WASHINGTON ST, SUFFOLK, VA 23434-4514
- **Practice address phone:** (757) 809-3588
- **Mailing address:** PO BOX 5588, SUFFOLK, VA 23435-0588
- **Mailing address phone:** (757) 809-3588
- **Mailing address fax:** (757) 809-3599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 0001159829 | VA | Yes |

## Other

- **Enumeration date:** 07/30/2010
- **Last updated:** 07/30/2010