# AQUATINA MOBILE BATHING SERVICE, LLC

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

## Provider details

- **NPI number:** 1770109233
- **Authorized official:** CATINA A BORGES (OWNER)
- **Authorized official phone:** (336) 901-1119

## Contact information

- **Practice address:** 221 PHILLIPS CT, DANVILLE, VA 24540-3820
- **Practice address phone:** (336) 901-1119
- **Mailing address:** PO BOX 12054, DANVILLE, VA 24543-5035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2020
- **Last updated:** 03/12/2021