Organization
INTENSACARE HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTA HARRIS RN (NURSING DIRECTOR)
(804) 616-0133
Entity
Organization
Contact information
Practice address
437 BEAUREGARD AVE, PETERSBURG, VA 23805-2017
(804) 372-0292
Mailing address
1248 CARMIA WAY # 1039, NORTH CHESTERFIELD, VA 23235-4750
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
12/08/2022
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