Organization Name: | AT HOME PERSONAL CARE |
NPI Number: | 1538575949 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTHA ANN SLATE (ADMINISTRATOR) |
Mailing Address: | 2032 Cedar Valley Dr Suite1 Cedar Bluff |
State: | VA US |
Postal Code: | 24609 |
Phone Number: | 2765969500 |
Fax Number: | 2765969501 |
NPI Enumeration Date: | 07/07/2014 |
NPI Last Update Date: | 07/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HCO-07360 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |