Organization
EDMARC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH STITZER-BRAME RN (EXECUTIVE DIRECTOR)
(757) 967-9251
Entity
Organization
Contact information
Practice address
516 LONDON ST, PORTSMOUTH, VA 23704-2510
(757) 967-9251
(757) 967-9124
Mailing address
516 LONDON ST, PORTSMOUTH, VA 23704-2510
(757) 967-9251
(757) 967-9124
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001825
ANTHEM BCBS
VA
01
—
396402
AMERICAN HEALTH INS.
VA
05
—
4972635
—
VA
01
—
52662
SENTARA-OPTIMA INS.
VA
Enumeration date
07/06/2006
Last updated
10/22/2019
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