Organization
C.L.C SUPPORTIVE IN- HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCELLA IRENE ALSTON (OWNER)
(757) 470-9695
Entity
Organization
Contact information
Practice address
1136 SIR LANCELOT DR, CHESAPEAKE, VA 23323-2631
(757) 470-9695
Mailing address
1136, SIR LANCELOT DR., CHESAPEAKE, VA 23323-2631
(757) 470-9695
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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