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Organization

GROOMED FOR GREATNESS LEARNING CENTER II

Active
Other names
Groomed for Greatness Vaccine Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ERNECIA HOUSE (EXECUTIVE DIRECTOR)
(757) 675-8550
Entity
Organization

Contact information

Practice address
1711 CHURCH ST STE C, NORFOLK, VA 23504-2303
(757) 402-0463
Mailing address
1711 CHURCH ST STE C, NORFOLK, VA 23504-2303
(757) 612-4500

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
251V00000X
Voluntary or Charitable Agency
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
01/07/2022
Last updated
04/11/2022
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