Organization
WJH CARETAKING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JOSEPH HICKS MEDICAL MANAGEMENT (OWNER (CARETAKING))
(540) 354-7967
Entity
Organization
Contact information
Practice address
2237 BAINBRIDGE DR, SALEM, VA 24153-5666
(540) 354-7967
Mailing address
2237 BAINBRIDGE DR, SALEM, VA 24153-5666
(540) 354-7967
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
11L1922 61H1922
VA
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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