# IN-HOME SUPPORT SERVICES OF VIRGINIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023894581
- **Authorized official:** MR. BILLE VIRZELL (QDDP)
- **Authorized official phone:** (757) 339-2072

## Contact information

- **Practice address:** 150 W WASHINGTON ST STE D, SUFFOLK, VA 23434-5272
- **Practice address phone:** (757) 339-2072
- **Practice address fax:** (757) 539-7228
- **Mailing address:** 150 W WASHINGTON ST STE D, SUFFOLK, VA 23434-5272
- **Mailing address phone:** (757) 339-2072
- **Mailing address fax:** (757) 539-7228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2023
- **Last updated:** 08/31/2023