Organization
PHASE ONE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KHALILAH SHABAZZ (ADMINISTRATOR)
(757) 646-3709
Entity
Organization
Contact information
Practice address
1107 LONG BEECHES AVE, CHESAPEAKE, VA 23320-0724
(757) 646-3709
Mailing address
1107 LONG BEECHES AVE, CHESAPEAKE, VA 23320-0724
(757) 646-3709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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