Organization
NICOLE UNDERDUE MORTON
Active
Other names
NICOLES HOME HEALTH CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MORTON (OWNER)
(757) 926-9245
Entity
Organization
Contact information
Practice address
5925 BRADFORD DR, SUFFOLK, VA 23435-2001
(757) 926-9245
Mailing address
5925 BRADFORD DR, SUFFOLK, VA 23435-2001
(757) 926-9245
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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