Organization
STAY AT HOME PERSONAL CARE LLC
Active
Other names
Stay at Home Personal Care Gloucester
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI SMITH DO (DIRECTOR OF OPERATIONS)
(434) 963-4949
Entity
Organization
Contact information
Practice address
7657 MEREDITH DR, GLOUCESTER, VA 23061-4151
(804) 767-3707
(844) 870-4780
Mailing address
PO BOX 2064, CHARLOTTESVILLE, VA 22902-2064
(434) 963-4949
(434) 963-4940
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCO-15848
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-60938236
—
VA
05
—
01-60938400
—
VA
Enumeration date
03/30/2015
Last updated
03/30/2015
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