Individual
MISS CARIEN N HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
424 MARKET ST, SUITE 101, SUFFOLK, VA 23434-5200
(757) 934-1400
(757) 934-1404
Mailing address
424 MARKET ST, SUITE 101, SUFFOLK, VA 23434-5200
(757) 934-1400
(757) 934-1404
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-12774
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155893966
—
VA
05
—
0155894261
—
VA
05
—
0164900836
—
VA
Enumeration date
01/09/2012
Last updated
01/09/2012
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