Organization
ALLY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELENA TUCKER (PRESIDENT/FACILITATOR)
(804) 338-4857
Entity
Organization
Contact information
Practice address
3642 BROADWATER RD, CHESTER, VA 23831-1784
(804) 338-4857
Mailing address
3642 BROADWATER RD, CHESTER, VA 23831-1784
(804) 338-4857
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0183377545
—
VA
Enumeration date
03/30/2017
Last updated
03/30/2017
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