Organization
HOMESTEAD HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THOMASENE HARDEN HERRERA (OWNER/ADMINISTRATOR)
(757) 692-8636
Entity
Organization
Contact information
Practice address
515 HENDERSON STREET, PORTSMOUTH, VA 23701-3317
(757) 692-8636
(757) 282-5922
Mailing address
515 HENDERSON STREET, PORTSMOUTH, VA 23701-3317
(757) 692-8636
(757) 282-5922
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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