Organization
HEAVENLY FRIENDS HOME HEALTHCARE SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA SHARIDA SMITH (ADMIN 1)
(757) 618-7322
Entity
Organization
Contact information
Practice address
24 PALISADE PT, HAMPTON, VA 23666-6029
(757) 618-7322
Mailing address
24 PALISADE PT, HAMPTON, VA 23666-6029
(757) 618-7322
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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