Organization
C & R DIVINE HANDS OF CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN D JORDAN (SERVICE FACILITATOR)
(757) 201-0229
Entity
Organization
Contact information
Practice address
3741 HISTORYLAND DR, VIRGINIA BEACH, VA 23452-3307
(757) 201-0229
(757) 648-1207
Mailing address
3741 HISTORYLAND DR, VIRGINIA BEACH, VA 23452-3307
(757) 201-0229
(757) 648-1207
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0443787070
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0178313646
API
VA
Enumeration date
10/28/2015
Last updated
10/28/2015
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