Organization
HOMESTEAD HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLTON B HERRERA SR. (OWNER)
(757) 641-1625
Entity
Organization
Contact information
Practice address
3509 ETHEL JAMES DR, CHESAPEAKE, VA 23323-1249
(757) 641-1625
Mailing address
3509 ETHEL JAMES DR, CHESAPEAKE, VA 23323-1249
(757) 641-1625
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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