Organization
INTERNATIONAL HEALTHCARE ASSOCIATES
Active
Other names
International HealthCare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA RENNE RIDDICK NURSE (ADMINISTRATOR)
(757) 506-4538
Entity
Organization
Contact information
Practice address
1419 SIERRA DR, SUFFOLK, VA 23434-2847
(757) 506-4538
Mailing address
1419 SIERRA DR, SUFFOLK, VA 23434-2847
(757) 506-4538
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
00-0000000
VA
251E00000X
Home Health Agency
Primary
00-0000000
VA
251J00000X
Nursing Care Agency
00-0000000
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00-0000000
—
VA
Enumeration date
08/27/2010
Last updated
08/27/2010
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