Organization
MYB ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTAL BROOKS (PRESIDENT)
(757) 822-3835
Entity
Organization
Contact information
Practice address
200 HIGH ST STE 201, PORTSMOUTH, VA 23704-3721
(757) 822-3835
(757) 822-3835
Mailing address
200 HIGH ST STE 201, PORTSMOUTH, VA 23704-3721
(757) 822-3835
(757) 822-3835
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/19/2020
Last updated
02/20/2020
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