Provider Demographics
NPI:1710591433
Name:CHERISHABLE HEALTH SERVICES
Entity Type:Organization
Organization Name:CHERISHABLE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NA
Authorized Official - Prefix:
Authorized Official - First Name:SUKI
Authorized Official - Middle Name:LAQUITA
Authorized Official - Last Name:EDMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-319-3696
Mailing Address - Street 1:2004 CANDLELIGHT DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23325-4769
Mailing Address - Country:US
Mailing Address - Phone:757-319-3696
Mailing Address - Fax:
Practice Address - Street 1:2004 CANDLELIGHT DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23325-4769
Practice Address - Country:US
Practice Address - Phone:757-420-2870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHERISHABLE HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health