| Estelle's Personal Care Services | |
|
740 Boush St Norfolk VA 23510-1502 | |
| (832) 381-0655 | |
| (757) 299-1921 |
| Full Name | Estelle's Personal Care Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 740 Boush St, Norfolk, Virginia |
| Authorized Official Name and Position | Clarence Baker (OWNER/ CEO) |
| Authorized Official Contact | 8323810655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Estelle's Personal Care Services 4505 Winnie Dr Chesapeake VA 23321-1592 Ph: (832) 381-0655 | Estelle's Personal Care Services 740 Boush St Norfolk VA 23510-1502 Ph: (832) 381-0655 |
| NPI Number | 1710388475 |
|---|---|
| Provider Enumeration Date | 09/11/2014 |
| Last Update Date | 09/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710388475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2606 (Virginia) | Primary |
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