Organization
SHORE DRIVE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL LEE MARTIN (MANAGER)
(757) 839-8157
Entity
Organization
Contact information
Practice address
854 GRANBY STREET, NORFOLK, VA 23510
(757) 839-8157
Mailing address
PO BOX 1306, NORFOLK, VA 23501-1306
(757) 839-8157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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