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Latisha Marie Abbott Edison
Nursing Home Administrator in Portsmouth, Virginia
NPI 1568239242

Latisha Marie Abbott Edison is a Nursing Home Administrator based in Portsmouth, VA. Latisha Marie Abbott Edison practices in Portsmouth, VA. The NPI Number for Latisha Marie Abbott Edison is 1568239242 and holds a License No. (Virginia).

The current practice location address for Latisha Marie Abbott Edison is 4000 Dartmouth St, Portsmouth, VA and can be reached out via phone at 757-920-8841.

Location: 4000 Dartmouth St, Portsmouth, VA, 23707-3816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568239242
Provider Name
Latisha Marie Abbott Edison
Credential
Provider Entity Type
Individual
Gender
Female
Address
4000 Dartmouth St, Portsmouth, VA, 23707-3816
Phone Number
757-920-8841
Fax Number
Provider Enumeration Date
12/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4000 Dartmouth St
City
Portsmouth
State
Virginia
Zip
23707-3816
Phone Number
757-920-8841
Fax Number
person
Provider Business Mailing Address Details
Address
4000 Dartmouth St
City
Portsmouth
State
Virginia
Zip
23707-3816
Phone Number
757-920-8841
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
()
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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