Organization
HEALTHCARE SERVICES 101
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAQUEL MONTRELL HARRIS RN,BSN (CEO)
(757) 581-7028
Entity
Organization
Contact information
Practice address
264 HOLBROOK ARCH, SUFFOLK, VA 23434-2156
(757) 581-7028
(757) 538-8943
Mailing address
264 HOLBROOK ARCH, SUFFOLK, VA 23434-2156
(757) 581-7028
(757) 538-8943
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0001159829
VA
Other
Enumeration date
04/21/2009
Last updated
06/29/2009
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