Organization
ELISE PERSONAL HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CUSHNIE (OWNER)
(757) 937-2580
Entity
Organization
Contact information
Practice address
2005 OLD GREENBRIER RD STE 106, CHESAPEAKE, VA 23320-2649
(757) 937-2580
(757) 937-3134
Mailing address
2005 OLD GREENBRIER RD STE 106, CHESAPEAKE, VA 23320-2649
(757) 937-2580
(757) 937-3134
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
03/01/2024
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