Organization
CDC HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKESHA BROWN (ADMINISTRATOR)
(757) 639-3948
Entity
Organization
Contact information
Practice address
20 CENTRE PORT CIR, PORTSMOUTH, VA 23703-5453
(757) 639-3948
Mailing address
20 CENTRE PORT CIR, PORTSMOUTH, VA 23703-5453
(757) 639-3948
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/11/2025
Last updated
04/24/2025
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