Madonna Home

NPI #1750855847 in Norfolk, Virginia

Provider Information

NPI Number: 1750855847
Entity Type: Organization
Organization Name: Madonna Home
Primary Specialty: Nursing Home Administrator
Enumeration Date: Jan 11, 2019
Last Updated: Jan 11, 2019

Practice Location

Address: 814 W 37TH ST
City: Norfolk
State: Virginia
ZIP Code: 23508-2610
Phone: (757) 623-6662

Authorized Official

Name: MRS. CHARLENE DAVIS
Title: ADMINISTRATOR
Phone: (757) 435-7809

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Home Administrator	376G00000X	Primary

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