Organization
DOMINION EVERCARE HOME AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISUN KIM (PRESIDENT)
(929) 709-6353
Entity
Organization
Contact information
Practice address
12138 GREY OAKS PARK RD, GLEN ALLEN, VA 23059-5781
(929) 990-7030
Mailing address
12138 GREY OAKS PARK RD, GLEN ALLEN, VA 23059-5781
(929) 709-6353
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/19/2026
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