Organization
AQUATINA MOBILE BATHING SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATINA A BORGES (OWNER)
(336) 901-1119
Entity
Organization
Contact information
Practice address
221 PHILLIPS CT, DANVILLE, VA 24540-3820
(336) 901-1119
Mailing address
PO BOX 12054, DANVILLE, VA 24543-5035
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
03/12/2021
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