# CHANGING LIVES PERSONAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MCDOLE PERSONAL CARE LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518593805
- **Authorized official:** CATRINA BANKS (OWNER)
- **Authorized official phone:** (757) 309-0104

## Contact information

- **Practice address:** 900 GRANBY ST STE 239, NORFOLK, VA 23510-2503
- **Practice address phone:** (757) 309-0104
- **Practice address fax:** (757) 257-0321
- **Mailing address:** 900 GRANBY ST STE 239, NORFOLK, VA 23510-2503
- **Mailing address phone:** (757) 309-0104
- **Mailing address fax:** (757) 257-0321

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2020
- **Last updated:** 03/18/2020