Organization
IRENES HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA MILLS (ADMINISTRATOR)
(757) 337-0897
Entity
Organization
Contact information
Practice address
6000 HIGH ST W STE A, PORTSMOUTH, VA 23703-4508
(757) 337-0897
Mailing address
6000 HIGH ST W STE A, PORTSMOUTH, VA 23703-4508
(757) 337-0897
(757) 337-0898
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0729939428
—
VA
Enumeration date
11/07/2018
Last updated
01/28/2019
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