Organization
SWEET GRACE HOME HEALTH AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EVELYN MARIE BEAMON (OWNER/ ADMINISTRATOR)
(757) 934-6000
Entity
Organization
Contact information
Practice address
112 W WASHINGTON ST, SUITE 302, SUFFOLK, VA 23434-5246
(757) 934-6000
(757) 934-6001
Mailing address
112 W WASHINGTON ST, SUITE 302, SUFFOLK, VA 23434-5246
(757) 934-6000
(757) 934-6001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-171481
VA
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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