Organization
SAFEWAY RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA CARTER (OWNER)
(757) 553-6309
Entity
Organization
Contact information
Practice address
1907 STONEHURST ST, CHESAPEAKE, VA 23324-3357
(757) 494-1039
Mailing address
1907 STONEHURST ST, CHESAPEAKE, VA 23324-3357
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
06/08/2021
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