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Organization

FAMILY 1ST OF VIRGINIA HOME HEALTHCARE LLC

Active
Other names
Family 1st Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES THOMAS GOUGH JR. (OWNER/ADMINSTRATOR)
(804) 986-6431
Entity
Organization

Contact information

Practice address
1403 PEMBERTON RD STE 306, HENRICO, VA 23238-4474
(804) 416-6831
(804) 416-6823
Mailing address
1403 PEMBERTON RD STE 306, HENRICO, VA 23238-4474
(804) 416-6831
(804) 416-6823

Taxonomy

Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
163WW0000X
Wound Care Registered Nurse
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
Primary
376J00000X
Homemaker
376K00000X
Nurse's Aide

Other

Enumeration date
07/26/2023
Last updated
08/01/2023
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