# AJEWELL HEALTHCARE AGENCY, LLC

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

## Provider details

- **NPI number:** 1740641109
- **Authorized official:** LYNETTE QUARTLBAUM RN (DIRECTOR)
- **Authorized official phone:** (757) 240-4440

## Contact information

- **Practice address:** 5006 JEFFERSON AVE, NEWPORT NEWS, VA 23605-3204
- **Practice address phone:** (757) 240-4440
- **Practice address fax:** (757) 706-3568
- **Mailing address:** 5006 JEFFERSON AVE, NEWPORT NEWS, VA 23605-3204
- **Mailing address phone:** (757) 240-4440
- **Mailing address fax:** (757) 706-3568

## Taxonomy

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

## Other

- **Enumeration date:** 03/14/2016
- **Last updated:** 03/14/2016