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Organization
S&S HEALTHCARE, INC.
Active
Organization
S&S HEALTHCARE, INC.
Active
Other names
Interim HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL PATRICK DAVIS (PRESIDENT / CEO)
(540) 774-8686
Entity
Organization
Contact information
Practice address
4395 ELECTRIC RD, ROANOKE, VA 24018-0721
(540) 774-8686
(540) 774-0279
Mailing address
4395 ELECTRIC RD, ROANOKE, VA 24018-0721
(540) 774-8686
(540) 774-0279
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087001506
MEDICAID API PERSONAL CARE
VA
01
—
0087700180
MEDICAID API RESPITE CARE
VA
01
—
1437101029
MEDICARE
VA
Enumeration date
04/07/2011
Last updated
04/07/2011
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