Organization
CK PROFESSIONAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTRISE N RATLIFF (CHIEF EXECUTIVE OFFICER)
(757) 513-0788
Entity
Organization
Contact information
Practice address
15 PENNINGTON AVE, NEWPORT NEWS, VA 23606-2631
(757) 513-0788
Mailing address
15 PENNINGTON AVE, NEWPORT NEWS, VA 23606-2631
(757) 513-0788
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/30/2025
Last updated
08/30/2025
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