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Organization
MY FATHER'S HOUSE,LLC
Active
Organization
MY FATHER'S HOUSE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN M COLLINS (OWNER)
(804) 452-1168
Entity
Organization
Contact information
Practice address
6481 HEATHER WAY, PRINCE GEORGE, VA 23875-2680
(804) 452-1168
Mailing address
3613 ECHOWAY RD, RICHMOND, VA 23234-4867
(804) 218-0137
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0001141490
VA
251F00000X
Home Infusion Agency
0001141490
VA
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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