Organization
GROWTH HOME HEALTH CARE LLC
Active
Other names
Growth Pediatric Home Health Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE D GAY (CEO)
(757) 774-8941
Entity
Organization
Contact information
Practice address
15064 CARROLLTON BLVD, CARROLLTON, VA 23314-3582
(757) 774-8941
Mailing address
15064 CARROLLTON BLVD, CARROLLTON, VA 23314-3582
(757) 774-8941
(757) 299-4801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073025425
NPI TYPE 1
VA
Enumeration date
02/09/2018
Last updated
08/19/2020
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