Organization
PASSIONATE HEARTS HOME HEALTH AGENCY & SERVICES LLC
Active
Other names
Passionate Hearts Home Health Agency & Services LLC, Passionate Hearts Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA JENELLE FOGG (OWNER)
(757) 414-4747
Entity
Organization
Contact information
Practice address
1122 SELDEN AVE, NORFOLK, VA 23523-2126
(757) 414-4747
Mailing address
1122 SELDEN AVE, NORFOLK, VA 23523-2126
(757) 414-4747
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992327555
—
VA
Enumeration date
05/17/2020
Last updated
04/26/2023
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