Organization
HOME NURSING SERVICE OF SOUTHWEST VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY L. WILSON LPN (ADMINISTRATOR)
(276) 628-2666
Entity
Organization
Contact information
Practice address
611 CAMPUS DR, SUITE 300, ABINGDON, VA 24210-9700
(276) 628-2666
(276) 623-4276
Mailing address
611 CAMPUS DR, SUITE 300, ABINGDON, VA 24210-9700
(276) 628-2666
(276) 623-4276
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0000364000402
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004973062
—
VA
01
—
006655
BCBS PROVIDER NUMBER
VA
Enumeration date
09/02/2005
Last updated
02/27/2012
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