Organization
ELIZABETHS BELOVED HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA BOUBACAR (ADMINISTRATOR)
(757) 803-3117
Entity
Organization
Contact information
Practice address
3819 PEACHTREE LN W, PORTSMOUTH, VA 23703-2538
(757) 803-3117
Mailing address
3819 PEACHTREE LN W, PORTSMOUTH, VA 23703-2538
(757) 803-3117
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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