# NURSE NICOLE'S HOME CARE, LLC

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

## Provider details

- **NPI number:** 1972266203
- **Authorized official:** DR. NICOLE MICHELLE BROWN REGISTERED NURSE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (804) 731-4590

## Contact information

- **Practice address:** 2545 BELLWOOD RD STE 105, NORTH CHESTERFIELD, VA 23237-4481
- **Practice address phone:** (804) 731-4590
- **Mailing address:** 2545 BELLWOOD RD STE 105, NORTH CHESTERFIELD, VA 23237-4481
- **Mailing address phone:** (804) 731-4590

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2021
- **Last updated:** 10/13/2021