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HOME HEALTH AIDE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELANIE DENISE COBB CNA (CERTIFIED NURSING ASSISTANT)
(757) 722-4504
Entity
Organization

Contact information

Practice address
625 NEWPORT NEWS AVE, HAMPTON, VA 23669-3930
(757) 722-4504
Mailing address
625 NEWPORT NEWS AVE, HAMPTON, VA 23669-3930
(757) 722-4504

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
1401009775
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1401009775
CERTIFIED NURSING ASSISTANT
VA
Enumeration date
06/14/2013
Last updated
06/14/2013
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