NPI 1154760916

Home Health Aide

Organisation Custodial Care Facility Hampton, VA

Practice location

Address: 625 Newport News Ave, Hampton, VA 23669-3930
Phone: (757) 722-4504

Authorised official

Name: Melanie Denise Cobb
Title: Certified Nursing Assistant
Phone: (757) 722-4504

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 1401009775 (VA)

Other Custodial Care Facility providers in Virginia →

Registry record

NPI: 1154760916
Entity type: Organization
NPI issued: 14 Jun 2013
Record last updated: 14 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.