MEDICARE: CHERRIES COMFORT CARE

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1538644661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHERRIES COMFORT CARE

Provider Business Mailing Address
First Line	:	5750 CHESAPEAKE BLVD STE 313
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-5325
Country	:	US
Telephone Number	:	757-857-0520
Fax Number	:	757-858-9727

Provider Business Practice Location Address
First Line	:	5750 CHESAPEAKE BLVD STE 313
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-5325
Country	:	US
Telephone Number	:	757-857-0520
Fax Number	:	757-858-9727

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. LINDA M CHERRY
Credential	:
Telephone Number	:	757-857-0520

Provider Enumeration Date	:	09/25/2018
Last Update Date	:	09/25/2018

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Directions to “CHERRIES COMFORT CARE ” Practice Location

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