Organization
GRAND CARE HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREYVOND LOCKHART (CEO)
(757) 386-3070
Entity
Organization
Contact information
Practice address
3100 LONDON BLVD STE 3, PORTSMOUTH, VA 23707-3402
(757) 386-3070
(757) 393-1679
Mailing address
3100 LONDON BLVD STE 3, PORTSMOUTH, VA 23707-3402
(757) 386-3070
(757) 393-1679
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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