Organization
PURE PATH HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA DANIELL CHACON (OWNER)
(757) 995-9779
Entity
Organization
Contact information
Practice address
500 E MAIN ST STE 1619, NORFOLK, VA 23510-2206
(757) 995-9779
Mailing address
500 E MAIN ST STE 1619, NORFOLK, VA 23510-2206
(757) 995-9779
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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