Organization
BRILLIANT SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE WHITEHEAD (PRESIDENT)
(757) 348-3168
Entity
Organization
Contact information
Practice address
500 CRAWFORD ST STE 100, PORTSMOUTH, VA 23704-3844
(757) 348-3168
Mailing address
500 CRAWFORD ST STE 100, PORTSMOUTH, VA 23704-3844
(757) 348-3168
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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