Organization
BLACK ANGELS HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIERA COLLINS (ADMINISTRATOR)
(804) 939-9714
Entity
Organization
Contact information
Practice address
11015 WARWICK BLVD STE 101&102, NEWPORT NEWS, VA 23601-3225
(757) 748-5152
Mailing address
11015 WARWICK BLVD STE 101&102, NEWPORT NEWS, VA 23601-3225
(757) 748-5152
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-1634
VA
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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