=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437829439
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOGETHER WE CAN LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/20/2021
-----------------------------------------------------
Last Update Date | 09/20/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 104 BREWER AVE
-----------------------------------------------------
City | SUFFOLK
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23434-5602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-949-7728
-----------------------------------------------------
Fax | 757-210-4271
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 104 BREWER AVE
-----------------------------------------------------
City | SUFFOLK
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23434
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-949-7728
-----------------------------------------------------
Fax | 757-210-4271
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PATRICIA ARLENE KING-JONES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 757-949-7728
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------