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NPI Code Detail

MEDICARE: ATLANTIC HOMECARE SERVICES

MEDICARE: ATLANTIC HOMECARE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyHCO-12816VA

General Provider Information

NPI Number : 1235404518
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLANTIC HOMECARE SERVICES
Provider Business Mailing Address
First Line : 575 LYNNHAVEN PKWY STE 170
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-7350
Country : US
Telephone Number : 757-227-9079
Fax Number : 757-227-9521
Provider Business Practice Location Address
First Line : 575 LYNNHAVEN PKWY STE 170
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-7350
Country : US
Telephone Number : 757-227-9079
Fax Number : 757-227-9521
Authorized Official
Title or Position : PRESIDENT
Name : MRS. ERICKA R. FOSTER
Credential :
Telephone Number : 757-227-9079
Provider Enumeration Date : 03/20/2012
Last Update Date : 04/23/2018

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Directions to “ATLANTIC HOMECARE SERVICES ” Practice Location

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