Organization
HEAVENLY WORKS HOME HEALTH CARE SERVICES
Active
Other names
Heavenly Works Home Health Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA RENNE RIDDICK 99 CREDITS (NURSE ADMINISTRATOR)
(757) 717-1785
Entity
Organization
Contact information
Practice address
5040 VIRGINIA BEACH BLVD, 103, VIRGINIA BCH, VA 23462-6637
(757) 718-7355
(757) 961-8744
Mailing address
5040 VIRGINIA BEACH BLVD, 103, VIRGINIA BCH, VA 23462-6637
(757) 718-7355
(757) 961-8744
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
128291
VA
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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