Organization
CAREGIVERS CORNER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERVONNE EVETTE BANKS MSG (GERONTOLOGIST)
(757) 240-7928
Entity
Organization
Contact information
Practice address
4410 CLAIBORNE SQ E STE 334, HAMPTON, VA 23666-2074
(757) 240-7928
Mailing address
4410 CLAIBORNE SQ E STE 334, HAMPTON, VA 23666-2074
(757) 240-7928
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO161171
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134540578
—
VA
Enumeration date
08/31/2015
Last updated
08/31/2015
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