Healthcare Provider Details

I. General information

NPI: 1154036762
Provider Name (Legal Business Name): BALANCE HOMECARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2023
Last Update Date: 01/18/2023
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W LITTLE CREEK RD STE 104
NORFOLK VA
23505-2036
US

IV. Provider business mailing address

801 W LITTLE CREEK RD STE 104
NORFOLK VA
23505-2036
US

V. Phone/Fax

Practice location:
  • Phone: 757-266-8696
  • Fax:
Mailing address:
  • Phone: 757-266-8696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS DELPHINE NTOMNE NTOH FNU
Title or Position: PRESIDENT
Credential:
Phone: 757-866-2696