Organization
PROVIDER HEALTH HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRELL MONIQUE HARRIS ACCOUNTING (OWNER)
(305) 896-2047
Entity
Organization
Contact information
Practice address
911 S CLUB HOUSE RD, VIRGINIA BEACH, VA 23452-6301
(305) 896-2047
Mailing address
911 S CLUB HOUSE RD, VIRGINIA BEACH, VA 23452-6301
(305) 896-2047
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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