# COMMUNITY BASED

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

## Provider details

- **NPI number:** 1750191888
- **Authorized official:** ERICA DIXON (OWNER)
- **Authorized official phone:** (757) 798-3444

## Contact information

- **Practice address:** 608 THALIA RD, VIRGINIA BEACH, VA 23452-1814
- **Practice address phone:** (757) 798-3444
- **Practice address fax:** (757) 937-1051
- **Mailing address:** 468 INVESTORS PL STE 204A, VIRGINIA BEACH, VA 23452-1109
- **Mailing address phone:** (757) 798-3444
- **Mailing address fax:** (757) 937-1051

## Taxonomy

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

## Other

- **Enumeration date:** 01/10/2025
- **Last updated:** 03/10/2025
