Provider Demographics
NPI:1669852208
Name:EQUILIBRIO HOME HEALTH OF VIRGINIA INC.
Entity Type:Organization
Organization Name:EQUILIBRIO HOME HEALTH OF VIRGINIA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-449-9342
Mailing Address - Street 1:3160 COOPERS ARCH
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-3456
Mailing Address - Country:US
Mailing Address - Phone:814-449-9342
Mailing Address - Fax:
Practice Address - Street 1:1142 JENSEN DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-5872
Practice Address - Country:US
Practice Address - Phone:814-449-9342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health