Organization
AWESOME INNOVATIVE SERVICES LLC
Active
Other names
Awesome Innovative Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLEY WOODBERRY (OWNER)
(718) 865-6168
Entity
Organization
Contact information
Practice address
6022 JEFFERSON AVE STE 203, NEWPORT NEWS, VA 23605-3000
(718) 865-6168
Mailing address
6022 JEFFERSON AVE STE 203, NEWPORT NEWS, VA 23605-3000
(718) 865-6168
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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