Organization
JANE'S BEAUTIFUL ANGEL'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS HARGRAVES (OWNER)
(757) 839-7705
Entity
Organization
Contact information
Practice address
2803 CHICAGO AVE, PORTSMOUTH, VA 23704-6203
(757) 839-7705
Mailing address
2803 CHICAGO AVE, PORTSMOUTH, VA 23704-6203
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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