Organization
'WINGS OF TRINITY' HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAWANNE S ELEY (OWNER #1)
(757) 739-2040
Entity
Organization
Contact information
Practice address
1121 CUSTIS RD, SUFFOLK, VA 23434-3311
(757) 334-9600
Mailing address
1121 CUSTIS RD, SUFFOLK, VA 23434-3311
(757) 334-9600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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