Organization
OLD DOMINION ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ISABELLE HILLIARD RN (DIRECTOR)
(804) 733-9037
Entity
Organization
Contact information
Practice address
2787 S CRATER RD, SUITE D, PETERSBURG, VA 23805-2471
(804) 733-9037
(804) 733-1169
Mailing address
2787 S CRATER RD, SUITE D, PETERSBURG, VA 23805-2471
(804) 733-9037
(804) 733-1169
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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