# SHORE HOME CARE AGENCY, LLC

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

## Provider details

- **NPI number:** 1790339984
- **Authorized official:** YESSINNA NICOLE WILKINS (OWNER)
- **Authorized official phone:** (804) 323-1731

## Contact information

- **Practice address:** 31 N PROVIDENCE RD, NORTH CHESTERFIELD, VA 23235-5221
- **Practice address phone:** (804) 323-1731
- **Mailing address:** 31 N PROVIDENCE RD, NORTH CHESTERFIELD, VA 23235-5221
- **Mailing address phone:** (804) 323-1731

## Taxonomy

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

## Other

- **Enumeration date:** 07/26/2019
- **Last updated:** 07/26/2019