# AGBARA HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1780322305
- **Authorized official:** JUSTIN ERROL CONYERS (CEO)
- **Authorized official phone:** (757) 268-5689

## Contact information

- **Practice address:** 1420 BARDOT LN, PORTSMOUTH, VA 23701-3725
- **Practice address phone:** (757) 270-4964
- **Mailing address:** 1420 BARDOT LN, PORTSMOUTH, VA 23701-3725
- **Mailing address phone:** (757) 270-4964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | — |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 05/24/2022
- **Last updated:** 11/03/2022