Organization
AGBARA HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN ERROL CONYERS (CEO)
(757) 268-5689
Entity
Organization
Contact information
Practice address
1420 BARDOT LN, PORTSMOUTH, VA 23701-3725
(757) 270-4964
Mailing address
1420 BARDOT LN, PORTSMOUTH, VA 23701-3725
(757) 270-4964
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/24/2022
Last updated
11/03/2022
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