Organization
EL VRAJ CORPORATION
Active
Other names
Commonwealth First Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY SHAW (PRESIDENT CEO)
(804) 912-9368
Entity
Organization
Contact information
Practice address
968 S ORIOLE DR STE 101, VIRGINIA BEACH, VA 23451-6206
(757) 366-0708
(757) 366-0709
Mailing address
968 S ORIOLE DR STE 101, VIRGINIA BEACH, VA 23451-6206
(757) 366-0708
(757) 366-0709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-14893
VA
385H00000X
Respite Care
HCO-14893
VA
Other
Enumeration date
01/08/2014
Last updated
11/15/2021
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