Organization
TIDEWATER HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN M GAINEY (PRESIDENT)
(757) 213-6910
Entity
Organization
Contact information
Practice address
4445 CORPORATION LN, SUITE 270, VIRGINIA BEACH, VA 23462-3262
(757) 213-6910
(757) 213-6801
Mailing address
4445 CORPORATION LN, SUITE 270, VIRGINIA BEACH, VA 23462-3262
(757) 213-6910
(757) 213-6801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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