Organization
ABBA LODGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY N SAMS (OWNER)
(757) 937-0842
Entity
Organization
Contact information
Practice address
2319 ARKANSAS AVE, NORFOLK, VA 23513-4505
(757) 937-0842
Mailing address
2319 ARKANSAS AVE, NORFOLK, VA 23513-4505
(757) 937-0842
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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