MEDICARE: MS. LINDA M CHERRY

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	372600000X	Adult Companion	HCO-191941	VA

General Provider Information

NPI Number	:	1912474362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA M CHERRY

Provider Business Mailing Address
First Line	:	5750 CHESAPEAKE BLVD STE 313
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-5325
Country	:	US
Telephone Number	:	757-875-0520
Fax Number	:

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	:	757-875-0520
Fax Number	:	757-858-9727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2018
Last Update Date	:	10/24/2018

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