Organization
SHORE HOME CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YESSINNA NICOLE WILKINS (OWNER)
(804) 323-1731
Entity
Organization
Contact information
Practice address
31 N PROVIDENCE RD, NORTH CHESTERFIELD, VA 23235-5221
(804) 323-1731
Mailing address
31 N PROVIDENCE RD, NORTH CHESTERFIELD, VA 23235-5221
(804) 323-1731
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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