Organization
PHAITH HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAQONA LAKEYTA PAYNE (ADMINISTRATOR)
(757) 582-7005
Entity
Organization
Contact information
Practice address
355 CRAWFORD ST STE 600-E, PORTSMOUTH, VA 23704-2816
(757) 405-7370
Mailing address
355 CRAWFORD ST STE 600-E, PORTSMOUTH, VA 23704-2816
(757) 405-7370
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-1862
VA
Other
Enumeration date
06/03/2018
Last updated
06/03/2018
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