institution
Lake Prince At Home Llc
Community Based Hospice Care Agency in Suffolk, Virginia
NPI 1174112445

Lake Prince At Home Llc is a Community Based Hospice Care Agency based in Suffolk, VA. Lake Prince At Home Llc practices in Suffolk, VA. The NPI Number for Lake Prince At Home Llc is 1174112445 and holds a License No. (Virginia).

The current practice location address for Lake Prince At Home Llc is 100 Anna Goode Way, Suffolk, VA and can be reached out via phone at 757-923-5559 and via fax at 757-257-0421. You can also correspond with Lake Prince At Home Llc through the mailing address at 100 ANNA GOODE WAY, SUFFOLK, VA - 23434-9236 (mailing address contact number: 757-923-5559).

Location: 100 Anna Goode Way, Suffolk, VA, 23434-9236
institution
Provider Profile Details
NPI Number
1174112445
Provider Name
Lake Prince At Home Llc
Credential
Provider Entity Type
Organization
Address
100 Anna Goode Way, Suffolk, VA, 23434-9236
Phone Number
757-923-5559
Fax Number
757-257-0421
Provider Enumeration Date
01/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Anna Goode Way
City
State
Zip
23434-9236
Phone Number
757-923-5559
Fax Number
757-257-0421
person
Provider Business Mailing Address Details
Address
100 Anna Goode Way
City
State
Zip
23434-9236
Phone Number
757-923-5559
Fax Number
757-257-0421
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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