# LILLIES IN THE VALLEY PRIVATE DUTY SERVICES, LLC

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

## Provider details

- **NPI number:** 1528134418
- **Authorized official:** YVETTE VONCENT MIX CERTIFIED NURSE AIDE (OWNER)
- **Authorized official phone:** (757) 873-0711

## Contact information

- **Practice address:** 546 DENBIGH BLVD, SUITE C, NEWPORT NEWS, VA 23608-4240
- **Practice address phone:** (757) 873-0711
- **Practice address fax:** (757) 873-0744
- **Mailing address:** 546 DENBIGH BLVD, SUITE C, NEWPORT NEWS, VA 23608-4240
- **Mailing address phone:** (757) 873-0711
- **Mailing address fax:** (757) 873-0744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-09332 | VA | Yes |
| 251E00000X | Home Health Agency | HCO07332 | VA | — |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 12/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0102419873 | — | VA |
| 05 | — | 0102510952 | — | VA |
| 05 | — | 010354901 | — | VA |