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Organization
MOUNTAIN REGION PERSONAL CARE SERVICES INC.
Active
Organization
MOUNTAIN REGION PERSONAL CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY A. HILL (OWNER/ADMINISTRATOR)
(276) 431-1440
Entity
Organization
Contact information
Practice address
463 DUFF-PATT HWY, DUFFIELD, VA 24244
(276) 431-1440
(276) 431-1442
Mailing address
PO BOX 246, DUFFIELD, VA 24244
(276) 431-1440
(276) 431-1442
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
—
VA
251E00000X
Home Health Agency
Primary
497592
VA
251E00000X
Home Health Agency
—
VA
332B00000X
Durable Medical Equipment & Medical Supplies
009105271
VA
332B00000X
Durable Medical Equipment & Medical Supplies
4552980001
VA
3747P1801X
Personal Care Attendant
—
VA
385H00000X
Respite Care
008773106
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008703698
—
VA
05
—
0087036981
—
VA
05
—
0087331060
—
VA
05
—
008743576
—
VA
05
—
008773106
—
VA
05
—
009105271
—
VA
05
—
010039592
—
VA
05
—
010109043
—
VA
05
—
0102081319
—
VA
05
—
0102081574
—
VA
05
—
010250129
—
VA
01
—
4552980001
NSC SUPPLIER #
—
Enumeration date
08/15/2005
Last updated
02/03/2016
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