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Organization
PERSONAL HOMECARE INC
Active
Organization
PERSONAL HOMECARE INC
Active
Other names
1st Care at Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED LEE BURKHOLDER JR. (ADMINISTRATOR)
(434) 572-1582
Entity
Organization
Contact information
Practice address
425 MAIN STREET, SOUTH BOSTON, VA 24592-1006
(434) 572-1582
(434) 572-2631
Mailing address
PO BOX 1006, 425 MAIN STREET, SOUTH BOSTON, VA 24592-1006
(434) 572-1582
(434) 572-2631
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
333300000X
Emergency Response System Companies
—
NULL
385H00000X
Respite Care
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
02/02/2007
Last updated
11/20/2023
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