Organization
RACHELS RETREAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KECIA TERRELONGE (OWNER)
(804) 868-5518
Entity
Organization
Contact information
Practice address
4433 GODWIN BLVD STE B, SUFFOLK, VA 23434-6927
(804) 868-5518
Mailing address
1024 CENTERBROOKE LN STE F136, SUFFOLK, VA 23434-8291
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/09/2024
Last updated
08/26/2025
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