Healthcare Provider Details

I. General information

NPI: 1922549310
Provider Name (Legal Business Name): AMOR HOME HEALTH AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2017
Last Update Date: 03/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5215 COLLEY AVE SUITE 136
NORFOLK VA
23508-2043
US

IV. Provider business mailing address

5215 COLLEY AVE SUITE 136
NORFOLK VA
23508-2043
US

V. Phone/Fax

Practice location:
  • Phone: 757-321-4063
  • Fax:
Mailing address:
  • Phone: 757-321-4063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CATRINA BANKS
Title or Position: ADMINISTRATOR
Credential:
Phone: 757-748-7769