Organization
MEDI KIDS VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GOLSTON (MANAGING MEMBER)
(703) 400-3886
Entity
Organization
Contact information
Practice address
207 GRANBY ST STE 300, NORFOLK, VA 23510-1825
(703) 400-3886
Mailing address
207 GRANBY ST STE 300, NORFOLK, VA 23510-1825
(703) 400-3886
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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