# PROFESSIONAL FOUNDATIONS

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

## Provider details

- **NPI number:** 1922622216
- **Authorized official:** MRS. LESA Y BROWN REGISTER NURSE (ADMINISTRATOR)
- **Authorized official phone:** (804) 358-5858

## Contact information

- **Practice address:** 4410 CLAIBORNE SQ E STE 334, HAMPTON, VA 23666-2074
- **Practice address phone:** (804) 358-5858
- **Mailing address:** 8224 SIR LIONEL PL, NORTH CHESTERFIELD, VA 23237-4725
- **Mailing address phone:** (804) 358-5858

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2020
- **Last updated:** 10/30/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NONE | NONE | — |