Organization
A WELBLESD HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL RICHARDSON BSN-RN (OWNER/OPERATOR)
(804) 894-1023
Entity
Organization
Contact information
Practice address
13512 MAHOGANY PL, CHESTERFIELD, VA 23832-2679
(804) 894-1023
(804) 899-8055
Mailing address
13512 MAHOGANY PL, CHESTERFIELD, VA 23832-2679
(804) 894-1023
(804) 899-8055
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/16/2023
Last updated
07/26/2024
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