| Qol Palliative Care Llc | |
|
3206 Westwood Cres Portsmouth VA 23703-4227 | |
| (757) 408-9727 | |
| Not Available |
| Full Name | Qol Palliative Care Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3206 Westwood Cres, Portsmouth, Virginia |
| Authorized Official Name and Position | Kenisha Reese (SOCIAL WORKER/THERAPIST) |
| Authorized Official Contact | 7574089727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qol Palliative Care Llc 3206 Westwood Cres Portsmouth VA 23703-4227 Ph: () - | Qol Palliative Care Llc 3206 Westwood Cres Portsmouth VA 23703-4227 Ph: (757) 408-9727 |
| NPI Number | 1659143139 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659143139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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