# OLD DOMINION MEDICAL STAFFING AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568603033
- **Authorized official:** MRS. TANISHA BROWN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (804) 334-2418

## Contact information

- **Practice address:** 8541 ELM RD, RICHMOND, VA 23235-1419
- **Practice address phone:** (804) 303-0712
- **Mailing address:** PO BOX 3416, RICHMOND, VA 23235-7416
- **Mailing address fax:** (804) 716-1931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2009
- **Last updated:** 03/13/2009