Organization
MCDOLE PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATRINA BANKS (ADMINISTRATOR)
(757) 230-0341
Entity
Organization
Contact information
Practice address
4500 COLLEY AVE STE J, NORFOLK, VA 23508-2031
(757) 230-0341
(757) 257-0321
Mailing address
4500 COLLEY AVE STE J, NORFOLK, VA 23508-2031
(757) 230-0341
(757) 257-0321
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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