Provider Demographics
NPI:1902223175
Name:BRIGGS OF SUFFOLK HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:BRIGGS OF SUFFOLK HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DWIGHT
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-923-0300
Mailing Address - Street 1:701 E PINNER STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-3025
Mailing Address - Country:US
Mailing Address - Phone:757-923-0300
Mailing Address - Fax:757-923-0301
Practice Address - Street 1:701 E PINNER STREET
Practice Address - Street 2:SUITE B
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-3025
Practice Address - Country:US
Practice Address - Phone:757-923-0300
Practice Address - Fax:757-923-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care