Organization
JEN & C HOME CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NARCISA BLANCAFLOR DELA CRUZ REGISTERED NURSE (RESIDENTIAL DIRECTOR)
(757) 650-0673
Entity
Organization
Contact information
Practice address
905 ARAGONA BLVD, VIRGINIA BEACH, VA 23455-5301
(757) 275-9541
Mailing address
905 ARAGONA BLVD, VIRGINIA BEACH, VA 23455-5301
(757) 650-0673
(757) 333-3874
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
1117
VA
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156459460
API
—
Enumeration date
01/05/2009
Last updated
01/05/2009
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