# MENDED PIECES HOME HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1609556687
- **Authorized official:** DEMETRIA YVETTE WILLIAMS (OWNER)
- **Authorized official phone:** (757) 809-3155

## Contact information

- **Practice address:** 1313 BALTIC ST, SUFFOLK, VA 23434-4140
- **Practice address phone:** (757) 809-3155
- **Mailing address:** 1313 BALTIC ST, SUFFOLK, VA 23434-4140
- **Mailing address phone:** (757) 809-3155

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2023
- **Last updated:** 07/24/2023