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Organization
DAN RIVER HOME CARE AGENCY, LLC
Active
Organization
DAN RIVER HOME CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN CAROLINE FITZGERALD RN (ADMINISTRATOR)
(434) 797-9797
Entity
Organization
Contact information
Practice address
217 LYNN ST STE 106, DANVILLE, VA 24541-1237
(434) 797-9797
(434) 797-9798
Mailing address
217 LYNN ST STE 106, DANVILLE, VA 24541-1237
(434) 797-9797
(434) 797-9798
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-18856
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159192480
—
VA
05
—
0159574505
—
VA
Enumeration date
10/05/2017
Last updated
10/05/2017
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