Organization
PROFESSIONAL HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SEMEIKO BAKER GAMBRELL (ADMINISTATOR)
(757) 238-9888
Entity
Organization
Contact information
Practice address
15207 CARROLLTON BLVD, CARROLLTON, VA 23314-2303
(757) 238-9888
(757) 238-9920
Mailing address
15207 CARROLLTON BLVD, CARROLLTON, VA 23314-2303
(757) 238-9888
(757) 238-9920
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
HCO-161063
VA
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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