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Organization
RUTH'S AND HATTIE'S GRANDDAUGHTER, LLC
Active
Organization
RUTH'S AND HATTIE'S GRANDDAUGHTER, LLC
Active
Other names
Comfort Keepers #1027
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER SOURS CUBBAGE RN (RN/PRESIDENT)
(540) 773-2211
Entity
Organization
Contact information
Practice address
3042 VALLEY AVE STE 102, WINCHESTER, VA 22601-2669
(540) 773-2211
(540) 773-2866
Mailing address
3042 VALLEY AVE STE 102, WINCHESTER, VA 22601-2669
(540) 773-2211
(540) 773-2866
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
347C00000X
Private Vehicle
—
NULL
385H00000X
Respite Care
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S698774-9
STATE CORPORATION COMMISSION
VA
Enumeration date
11/27/2017
Last updated
06/11/2019
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