Organization
MID-ATLANTIC HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LE ROY HALSTEAD RN (PRINCIPAL)
(757) 376-6882
Entity
Organization
Contact information
Practice address
2003 KELSEY BAY CT, CHESAPEAKE, VA 23323-5346
(757) 376-6882
(757) 558-3633
Mailing address
2003 KELSEY BAY CT, CHESAPEAKE, VA 23323-5346
(757) 376-6882
(757) 558-3633
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
Other
Enumeration date
09/14/2009
Last updated
01/05/2010
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