Organization Name: | MEDI HOME HEALTH AGENCY, INC. |
NPI Number: | 1497700454 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINA M JEFFCOAT (VICE PRESIDENT) |
Mailing Address: | 530 Independence Pkwy Ste 200 Chesapeake |
State: | VA US |
Postal Code: | 233205203 |
Phone Number: | 7574207192 |
Fax Number: | 7574200307 |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HSP-06114 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |