# PHENOMENAL HOME CARE SERVICES

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

## Provider details

- **NPI number:** 1467913822
- **Authorized official:** MS. INGRID DARLETTE FRASER (ADMINISTRATOR)
- **Authorized official phone:** (757) 937-2357

## Contact information

- **Practice address:** 405 S PARLIAMENT DR STE 201, VIRGINIA BEACH, VA 23462-6311
- **Practice address phone:** (757) 937-2357
- **Mailing address:** 405 S PARLIAMENT DR STE 201, VIRGINIA BEACH, VA 23462-6311
- **Mailing address phone:** (757) 937-2357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 03/28/2019
- **Last updated:** 11/20/2023