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Organization

MIANGEL HOME HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL GREEN (ADMINISTRATOR/OWNER)
(757) 922-7051
Entity
Organization

Contact information

Practice address
711 W WASHINGTON ST, SUFFOLK, VA 23434-6102
(757) 922-7051
Mailing address
601 N MECHANIC ST STE 302, FRANKLIN, VA 23851-1455

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3747P1801X
Personal Care Attendant
385H00000X
Respite Care

Other

Enumeration date
06/21/2017
Last updated
05/17/2024
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