Organization
JP GRAND HEARTS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CERIA MIZELL (OWNER)
(757) 615-7063
Entity
Organization
Contact information
Practice address
707 GITTINGS ST STE 100L, SUFFOLK, VA 23434-6156
(757) 615-7063
Mailing address
707 GITTINGS ST STE 100L, SUFFOLK, VA 23434-6156
(757) 615-7063
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/07/2025
Last updated
04/22/2025
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