Organization Name: | C.H.A.N.G.E. THREAPUETIC SERVICES |
NPI Number: | 1932334653 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERRY DENISE CALDWELL (CLINICAL DIRECTOR) |
Mailing Address: | 601 Dinwiddie St Portsmouth |
State: | VA US |
Postal Code: | 237043613 |
Phone Number: | 7572014601 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2009 |
NPI Last Update Date: | 05/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |