Organization
POSITIVE LIVING HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONETTE LAVERN HARRIS MS, QMHP (ADMINISTRATOR)
(757) 235-1161
Entity
Organization
Contact information
Practice address
4410 E CLAIBORNE SQUARE, SUITE 334, HAMPTON, VA 23666
(757) 251-3800
Mailing address
208 ROCKWOOD PL, SUFFOLK, VA 23435
(757) 235-1161
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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