Organization
CDA HOMECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRELL J PITTMAN JR. (PRESIDENT)
(757) 570-1861
Entity
Organization
Contact information
Practice address
208 LEWIS RD, PORTSMOUTH, VA 23701-1326
(757) 570-1861
Mailing address
208 LEWIS RD, PORTSMOUTH, VA 23701-1326
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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