Organization
OLD GLORY HOME HEALTH CARE & ASSISTIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM FOSTER (OWNER)
(804) 599-7868
Entity
Organization
Contact information
Practice address
2108 W LABURNUM AVE STE 230, RICHMOND, VA 23227-4300
(804) 599-7868
Mailing address
2108 W LABURNUM AVE STE 230, RICHMOND, VA 23227-4300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/10/2023
Last updated
12/12/2023
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