Organization
FOREVER HALO CARE PROVIDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE MAYO (OWNER)
(757) 209-1060
Entity
Organization
Contact information
Practice address
3300 ACORN ST STE 310, WILLIAMSBURG, VA 23188-1012
(757) 209-1060
Mailing address
3300 ACORN ST STE 310, WILLIAMSBURG, VA 23188-1012
(757) 209-1060
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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