Organization
LYFE OF LOVE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANELL RIDDICK (ADMINISTRATOR)
(757) 202-2321
Entity
Organization
Contact information
Practice address
3228 BROOKBRIDGE RD, VIRGINIA BEACH, VA 23452-4907
(757) 971-0610
Mailing address
1509 LAKE CHRISTOPHER DR, VIRGINIA BEACH, VA 23464-7212
(757) 202-2321
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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