Organization
CYBECHO COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICOLE HALLIGAN (PRESIDENT)
(804) 506-0701
Entity
Organization
Contact information
Practice address
11448 KINGS POND DR OFC SUITE, PROVIDENCE FORGE, VA 23140-4465
(804) 506-0701
Mailing address
11448 KINGS POND DR OFC SUITE, PROVIDENCE FORGE, VA 23140-4465
(804) 506-0701
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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