Organization
CIRCLE OF LIFE HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLORISSE PETTAWAY (CEO)
(804) 712-1998
Entity
Organization
Contact information
Practice address
25415 COX RD, NORTH DINWIDDIE, VA 23803-6509
(804) 712-1998
Mailing address
25415 COX RD, NORTH DINWIDDIE, VA 23803-6509
(804) 712-1998
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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