# CARE PROVIDER'S NETWORK

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

## Provider details

- **NPI number:** 1730464173
- **Authorized official:** MISS SABRINA A EDWARDS (ADMINISTRATOR)
- **Authorized official phone:** (757) 626-1916

## Contact information

- **Practice address:** 5441 VIRGINIA BEACH BLVD, SUITE 121, VIRGINIA BEACH, VA 23462-1749
- **Practice address phone:** (757) 626-1916
- **Practice address fax:** (757) 626-0022
- **Mailing address:** 5441 VIRGINIA BEACH BLVD, SUITE 121, VIRGINIA BEACH, VA 23462-1749
- **Mailing address phone:** (757) 626-1916
- **Mailing address fax:** (757) 626-0022

## Taxonomy

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

## Other

- **Enumeration date:** 10/17/2011
- **Last updated:** 01/13/2016
