Organization
S & S HEALTH CARE, INC.
Active
Other names
Interim HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LYNN PETESEN (CEO/OWNER)
(540) 774-8686
Entity
Organization
Contact information
Practice address
3235 VIRGINIA AVE, COLLINSVILLE, VA 24078-2241
(276) 647-1700
(276) 647-4990
Mailing address
2747 PENN FOREST BLVD, ROANOKE, VA 24018-4342
(540) 774-8686
(540) 774-0279
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008700281
—
VA
05
—
008750793
—
VA
05
—
008771065
—
VA
01
—
112240
ANTHEM
VA
Enumeration date
05/11/2006
Last updated
06/04/2010
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