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Organization

HOMEBRIDGE HEALTH CARE CO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATAVIA BENNETTE (CEO)
(757) 235-2395
Entity
Organization

Contact information

Practice address
505 CUMBERLAND AVENUE, PORTSMOUTH, VA 23707
(757) 235-2395
Mailing address
505 CUMBERLAND AVENUE, PORTSMOUTH, VA 23707
(757) 235-2395

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
01/17/2022
Last updated
01/17/2022
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