Organization
BON SECOURS PRIVATE CARE
Active
Other names
Professional Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA G BALLARD (ADMINISTRATOR)
(757) 213-7907
Entity
Organization
Contact information
Practice address
861 GLENROCK RD STE 155, NORFOLK, VA 23502-3718
(757) 889-4662
(757) 213-7945
Mailing address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 889-4662
(757) 213-7945
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
010075661
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008701652
—
VA
05
—
008770531
—
VA
Enumeration date
08/23/2006
Last updated
08/07/2008
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