Organization
SAVED WITH AMAZING GRACE HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARITA SPRATLEY (OWNER)
(757) 202-0647
Entity
Organization
Contact information
Practice address
828 BOLD ST, PORTSMOUTH, VA 23701-3904
(757) 202-0647
Mailing address
828 BOLD ST, PORTSMOUTH, VA 23701-3904
(757) 202-0647
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCO-1727
VA
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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