Organization
UNIQUE PURPOSE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTA COOK (OWNER)
(757) 805-6871
Entity
Organization
Contact information
Practice address
510 MAHLON AVE, SUFFOLK, VA 23434-4116
(757) 805-6871
Mailing address
510 MAHLON AVE, SUFFOLK, VA 23434-4116
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/22/2019
Last updated
09/22/2019
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