Organization
VIRGINIA HOME HEALTH & HOSPICE CARE, INC.
Active
Other names
Virginia Home Health & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE LEE SULLIVAN DNP, FNP-BC (VP OF HOME HEALTH OPERATIONS)
(703) 201-1264
Entity
Organization
Contact information
Practice address
325 E MAIN ST STE B, WYTHEVILLE, VA 24382-2300
(276) 686-6321
(276) 686-6160
Mailing address
325 E MAIN ST STE B, WYTHEVILLE, VA 24382-2300
(276) 686-6321
(276) 686-6160
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004970748
—
VA
05
—
1285985127
—
VA
01
—
497563
CCN/PTAN MEDICIARE
VA
01
—
49D0974181
CLIA
—
01
—
6500003
ACHC AOID#
VA
Enumeration date
10/01/2012
Last updated
04/08/2022
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