Organization
NEW LIFESTYLE HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENTON AMOS (OWNER)
(757) 761-7754
Entity
Organization
Contact information
Practice address
880 N MILITARY HWY STE 1079, NORFOLK, VA 23502-3770
(757) 761-7754
Mailing address
PO BOX 41346, NORFOLK, VA 23541-1346
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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