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Organization
TIS HOME CARE
Active
Organization
TIS HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ADAMS (CEO)
(757) 410-0382
Entity
Organization
Contact information
Practice address
1210 PROGRESSIVE DR, SUIT 200, CHESAPEAKE, VA 23320
(757) 410-0382
Mailing address
1210 PROGRESSIVE DR, CHESAPEAKE, USA 23320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001241848
VA
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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