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NPI Code Detail

MEDICARE: BLESSED & HIGHLY FAVORED HOME HEALTH CARE LLC

MEDICARE: BLESSED & HIGHLY FAVORED HOME HEALTH CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency1810VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235648387
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLESSED & HIGHLY FAVORED HOME HEALTH CARE LLC
Provider Business Mailing Address
First Line : 638 INDEPENDENCE PKWY STE 150
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-5222
Country : US
Telephone Number : 757-620-2298
Fax Number :
Provider Business Practice Location Address
First Line : 638 INDEPENDENCE PKWY STE 150
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-5222
Country : US
Telephone Number : 757-743-3991
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DOROTHEA L RIDDICK
Credential :
Telephone Number : 757-743-3991
Provider Enumeration Date : 09/20/2017
Last Update Date : 11/02/2022

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Directions to “BLESSED & HIGHLY FAVORED HOME HEALTH CARE LLC ” Practice Location

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