Organization
LIVING WITH DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHIQUITA SHONTE HUBBARD (LPN)
(757) 921-6876
Entity
Organization
Contact information
Practice address
922 13TH ST, NEWPORT NEWS, VA 23607-6422
(757) 921-6876
Mailing address
922 13TH ST, NEWPORT NEWS, VA 23607-6422
(757) 921-6876
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
02/03/2025
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