Organization
BREATH OF AIR HOMECARE LLC
Active
Parent organization
BREATH OF AIR HOMECARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BREATH OF AIR HOMECARE, LLC
Authorized official
CRYSTAL SHAKEE DARDEN (OWNER)
(757) 304-7603
Entity
Organization
Contact information
Practice address
32403 RIVERDALE DR, FRANKLIN, VA 23851-4537
(757) 304-7603
Mailing address
32403 RIVERDALE DR, FRANKLIN, VA 23851-4537
(757) 304-7603
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
VA
251G00000X
Community Based Hospice Care Agency
—
VA
253Z00000X
In Home Supportive Care Agency
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8211232249
—
VA
Enumeration date
04/10/2017
Last updated
07/21/2022
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