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Organization

TIDEWATER PCA TRAINING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLETTE CADORE (OWNER DIRECTOR)
(757) 675-7270
Entity
Organization

Contact information

Practice address
4605 PEMBROKE LAKE CIR, SUITE 303, VIRGINIA BEACH, VA 23455-6434
(757) 675-7270
Mailing address
4605 PEMBROKE LAKE CIR, SUITE 303, VIRGINIA BEACH, VA 23455-6434
(757) 675-7270

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
05/13/2016
Last updated
05/13/2016
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