Organization
AT HOME HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVEN WALKER (CEO)
(757) 237-5653
Entity
Organization
Contact information
Practice address
302 COLUMBIA AVE, HAMPTON, VA 23669-4318
(757) 237-5653
Mailing address
302 COLUMBIA AVE, HAMPTON, VA 23669-4318
(757) 237-5653
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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