Organization
TIDEWATER HEALTHCARE SERVICES, INC
Active
Other names
Brightstar Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES MICHAEL WALTON (PRESIDENT)
(757) 227-4047
Entity
Organization
Contact information
Practice address
1214 PROGRESSIVE DR, SUITE 102, CHESAPEAKE, VA 23320-2848
(757) 227-4047
(757) 227-4109
Mailing address
1214 PROGRESSIVE DR, SUITE 102, CHESAPEAKE, VA 23320-2848
(757) 227-4047
(757) 227-4109
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
Other
Enumeration date
03/14/2009
Last updated
04/07/2016
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