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Organization
AWESOME INNOVATIVE SERVICES LLC
Active
Organization
AWESOME INNOVATIVE SERVICES LLC
Active
Other names
Awesome Innovative Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLEY WOODBERRY (OWNER)
(718) 865-6168
Entity
Organization
Contact information
Practice address
6022 JEFFERSON AVE STE 203, NEWPORT NEWS, VA 23605-3000
(718) 865-6168
Mailing address
6022 JEFFERSON AVE STE 203, NEWPORT NEWS, VA 23605-3000
(718) 865-6168
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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