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Organization
OLD DOMINION HOME HEALTH SERVICES
Active
Organization
OLD DOMINION HOME HEALTH SERVICES
Active
Other names
OLD DOMINION SUPPLY AND EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ISABELLE HILLIARD RN (PRESIDENT/CEO)
(804) 745-5133
Entity
Organization
Contact information
Practice address
8014 MIDLOTHIAN TPKE, SUITE 200, RICHMOND, VA 23235-5291
(804) 745-5133
(804) 745-5526
Mailing address
8014 MIDLOTHIAN TPKE, SUITE 200, RICHMOND, VA 23235-5291
(804) 745-5133
(804) 745-5526
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
608
VA
332B00000X
Durable Medical Equipment & Medical Supplies
0206008463
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007049182
AETNA HOME HEALTH
VA
05
—
004947762
—
VA
05
—
004974683
—
VA
05
—
008700206
—
VA
05
—
008704414
—
VA
05
—
008751242
—
VA
05
—
008772096
—
VA
05
—
008773351
—
VA
05
—
009116982
—
VA
05
—
010104076
—
VA
01
—
1018807
ACM HOME HEALTH
VA
01
—
1018808
ACM HOME HEALTH
VA
01
—
204160
SOUTHERN HEALTH
VA
01
—
227295
ANTHEM HOME HEALTH
VA
01
—
280760
SOUTHERN HEALTH
VA
01
—
286831
DME ANTHEM
VA
Enumeration date
08/27/2006
Last updated
05/23/2012
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