Organization
PURE LIFE HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUAESHA KNIGHT (OWNER)
(757) 952-7929
Entity
Organization
Contact information
Practice address
15064 CARROLLTON BLVD STE 24, CARROLLTON, VA 23314-3582
(757) 952-7929
Mailing address
77 CAPE DOREY DR, HAMPTON, VA 23666-6207
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
03/19/2021
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