Organization
AJEWELL HEALTHCARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE QUARTLBAUM RN (DIRECTOR)
(757) 240-4440
Entity
Organization
Contact information
Practice address
5006 JEFFERSON AVE, NEWPORT NEWS, VA 23605-3204
(757) 240-4440
(757) 706-3568
Mailing address
5006 JEFFERSON AVE, NEWPORT NEWS, VA 23605-3204
(757) 240-4440
(757) 706-3568
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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