Provider Source Home Health Care
Provider Source Home Health Care is a Home Health Agency in Norfolk, Virginia. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2211 Pretty Lake Ave Unit 403Norfolk, VA 23518-1047
Phone: (757) 324-2979
Fax: (757) 257-4575
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X |
|---|
Record details
| NPI number | 1396330890 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kena Dickens — Administrator · (757) 324-2979 |
| NPI enumerated | March 5, 2021 |
| Last updated in NPPES | March 5, 2021 |
| Certification date | March 5, 2021 |
| Mailing address | 2211 Pretty Lake Ave Unit 403, Norfolk, VA 23518-1047 |
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