Organization
BY GRACE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARBREHET DANIELLE SEBRON (ADMINISTRATOR)
(757) 539-2140
Entity
Organization
Contact information
Practice address
112 W WASHINGTON ST, SUITE 104, SUFFOLK, VA 23434-5246
(757) 539-2140
Mailing address
112 W WASHINGTON ST, SUITE 104, SUFFOLK, VA 23434-5246
(757) 539-2140
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-161431
VA
Other
Enumeration date
04/03/2016
Last updated
04/03/2016
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