Healthcare Provider Details

I. General information

NPI: 1821861121
Provider Name (Legal Business Name): PRYOR CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2023
Last Update Date: 10/30/2023
Certification Date: 10/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 STONEMOSS CT STE 300
VIRGINIA BEACH VA
23462-5754
US

IV. Provider business mailing address

1520 STONEMOSS CT STE 300
VIRGINIA BEACH VA
23462-5754
US

V. Phone/Fax

Practice location:
  • Phone: 757-395-0467
  • Fax:
Mailing address:
  • Phone:
  • 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: TODD PRYOR
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 757-395-0467