Organization
ELKHART ASSISTED LIVING LLC
Active
Other names
Elkhart Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
VALENCIA KELLY (OWNER/PRESIDENT)
(757) 739-5020
Entity
Organization
Contact information
Practice address
2900 CHESTNUT ST, PORTSMOUTH, VA 23704-7058
(757) 739-5020
Mailing address
2900 CHESTNUT ST, PORTSMOUTH, VA 23704-7058
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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