Organization
AMETHYST LILY PERSONAL CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA NFEWSOM RN (ADMINISTRATOR/OWNER)
(757) 324-0614
Entity
Organization
Contact information
Practice address
502E FOREST OAK LN, SUFFOLK, VA 23434-5464
(757) 324-0614
(757) 539-4788
Mailing address
502E FOREST OAK LN, SUFFOLK, VA 23434-5464
(757) 324-0614
(757) 539-4788
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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