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Organization
PERSONAL HOMECARE, INC.
Active
Organization
PERSONAL HOMECARE, INC.
Active
Other names
1st Care At Home
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED LEE BURKHOLDER III (PRESIDENT/CEO)
(434) 572-1582
Entity
Organization
Contact information
Practice address
425 MAIN ST, SOUTH BOSTON, VA 24592-3241
(434) 572-1028
Mailing address
PO BOX 1006, SOUTH BOSTON, VA 24592-1006
(434) 572-1028
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
NULL
251B00000X
Case Management Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
8702594
VA
333300000X
Emergency Response System Companies
—
NULL
385H00000X
Respite Care
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
03/13/2015
Last updated
11/20/2023
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