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Organization
COMMONWEALTH HOME HEALTH INC
Active
Organization
COMMONWEALTH HOME HEALTH INC
Active
Other names
1st Care Home Health South Boston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED LEE BURKHOLD III (ADMINISTRATOR)
(434) 572-1582
Entity
Organization
Contact information
Practice address
425 MAIN ST, SOUTH BOSTON, VA 24592-3241
(434) 572-1312
(434) 572-6211
Mailing address
PO BOX 1006, SOUTH BOSTON, VA 24592-1006
(434) 572-1312
(434) 572-6211
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226503
ANTHEM
VA
05
—
4970217
—
VA
Enumeration date
08/18/2005
Last updated
11/20/2023
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