Individual
CHARLES GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5241 HACKNEY RD, NORTH CHESTERFIELD, VA 23234-4597
(804) 439-0486
Mailing address
5241 HACKNEY RD, NORTH CHESTERFIELD, VA 23234-4597
(804) 439-0486
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
347E00000X
Transportation Broker
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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