Provider Demographics
NPI:1699252676
Name:DOLLIE AND CLARA HOME HEALTHCARE
Entity type:Organization
Organization Name:DOLLIE AND CLARA HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONAL MANAGER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATORSHA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-230-0021
Mailing Address - Street 1:5383 LEICESTER CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3539
Mailing Address - Country:US
Mailing Address - Phone:757-230-0021
Mailing Address - Fax:
Practice Address - Street 1:5383 LEICESTER CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3539
Practice Address - Country:US
Practice Address - Phone:757-230-0021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health