Organization
REGINA'S HOMECARE LLC
Active
Other names
Regina's homecare
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA FAUNTLEROY (OWNER)
(757) 359-4508
Entity
Organization
Contact information
Practice address
913 FIRST COLONIAL RD STE 204G, VIRGINIA BEACH, VA 23454-3198
(757) 359-4508
Mailing address
3110 CHALFIN AVENUE, A, NORFOLK, VA 23513
(757) 359-4508
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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