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Organization
AGING WELL HEALTH AND WELLNES
Active
Organization
AGING WELL HEALTH AND WELLNES
Active
Other names
AGING WELL HEALTHCARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DANA C GUNN RN (OWNER/ADMINISTRATOR)
(804) 869-5045
Entity
Organization
Contact information
Practice address
7631B RICHMOND HWY, APPOMATTOX, VA 24522-8679
(804) 869-5045
Mailing address
670 N CREEK RD, APPOMATTOX, VA 24522-8531
(804) 869-5045
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164912622
—
VA
Enumeration date
05/10/2018
Last updated
02/16/2023
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