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Organization
PETERSBURG HOME CARE SERVICES LLC
Active
Organization
PETERSBURG HOME CARE SERVICES LLC
Active
Other names
Southside Regional Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
43 RIVES RD STE 2, PETERSBURG, VA 23805-9255
(804) 862-8345
(804) 862-3461
Mailing address
901 HUGH WALLIS RD S, LAFAYETTE, LA 70508-2511
(337) 233-1307
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
497072
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4970721
—
VA
Enumeration date
01/13/2006
Last updated
07/15/2026
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