Organization
1 MASTER HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA REYNOLDS (MANAGER/OWNER)
(757) 737-1672
Entity
Organization
Contact information
Practice address
3026 TYRE NECK RD, SUITE G, PORTSMOUTH, VA 23703-4500
(757) 484-4464
(757) 484-4494
Mailing address
3026 TYRE NECK RD, SUITE G, PORTSMOUTH, VA 23703-4500
(757) 484-4464
(757) 484-4494
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-151044
VA
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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