# NEW LIFESTYLE HOME HEALTHCARE

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

## Provider details

- **NPI number:** 1790328896
- **Authorized official:** KENTON AMOS (OWNER)
- **Authorized official phone:** (757) 761-7754

## Contact information

- **Practice address:** 880 N MILITARY HWY STE 1079, NORFOLK, VA 23502-3770
- **Practice address phone:** (757) 761-7754
- **Mailing address:** PO BOX 41346, NORFOLK, VA 23541-1346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2019
- **Last updated:** 10/21/2019