Individual
MR. JARVIS EARL WORELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRESTIGE HOME HEALTH
Contact information
Practice address
958 13TH STREET, NEWPORT. NEWS, VA 23607-2360
(757) 952-9564
Mailing address
9, 2514 MARSHALL AVENUE, NEWPORT NEWS, VA 23607
(757) 952-9564
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
1508316597
VA
251E00000X
Home Health Agency
Primary
1508316597
VA
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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