Organization
VIRGINIA HEALTHCARE SERVICES OF NORFOLK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSSEIN A IBRAHIM DPT (CEO)
(703) 626-5466
Entity
Organization
Contact information
Practice address
124 S. LYNNHAVEN ROAD, SUITE 101, VIRGINIA BEACH, VA 23452-7419
(757) 233-7088
(757) 233-7224
Mailing address
124 S. LYNNHAVEN ROAD, SUITE 101, VIRGINIA BEACH, VA 23452-7419
(757) 233-7088
(757) 233-7224
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-11716
VA
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316258833
—
VA
Enumeration date
06/30/2010
Last updated
07/12/2012
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