Healthcare Provider Details

I. General information

NPI: 1669880084
Provider Name (Legal Business Name): APPROVED HEALTHCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2014
Last Update Date: 07/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

861 GLENROCK RD SUITE 114
NORFOLK VA
23502-3720
US

IV. Provider business mailing address

861 GLENROCK RD SUITE 114
NORFOLK VA
23502-3720
US

V. Phone/Fax

Practice location:
  • Phone: 757-729-6605
  • Fax: 757-893-9266
Mailing address:
  • Phone: 757-729-6605
  • Fax: 757-893-9266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID O ETUTE
Title or Position: PRES/CEO
Credential:
Phone: 757-729-6605