# STAY AT HOME PERSONAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stay at Home Personal Care Gloucester
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093100919
- **Authorized official:** BRANDI SMITH DO (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (434) 963-4949

## Contact information

- **Practice address:** 7657 MEREDITH DR, GLOUCESTER, VA 23061-4151
- **Practice address phone:** (804) 767-3707
- **Practice address fax:** (844) 870-4780
- **Mailing address:** PO BOX 2064, CHARLOTTESVILLE, VA 22902-2064
- **Mailing address phone:** (434) 963-4949
- **Mailing address fax:** (434) 963-4940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | HCO-15848 | VA | Yes |

## Other

- **Enumeration date:** 03/30/2015
- **Last updated:** 03/30/2015