# S & S HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interim HealthCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154371144
- **Authorized official:** JEFFREY LYNN PETESEN (CEO/OWNER)
- **Authorized official phone:** (540) 774-8686

## Contact information

- **Practice address:** 3235 VIRGINIA AVE, COLLINSVILLE, VA 24078-2241
- **Practice address phone:** (276) 647-1700
- **Practice address fax:** (276) 647-4990
- **Mailing address:** 2747 PENN FOREST BLVD, ROANOKE, VA 24018-4342
- **Mailing address phone:** (540) 774-8686
- **Mailing address fax:** (540) 774-0279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 06/04/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008700281 | — | VA |
| 05 | — | 008750793 | — | VA |
| 05 | — | 008771065 | — | VA |
| 01 | — | 112240 | ANTHEM | VA |