Organization
AMEDISYS HOME HEALTH OF VIRGINIA LLC
Active
Other names
Amedisys Home Health of Goochland
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
3015 RIVER RD W, GOOCHLAND, VA 23063-3203
(804) 556-7172
(804) 556-7176
Mailing address
3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
(225) 292-2032
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
EXEMPT
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010131090
—
VA
Enumeration date
03/27/2007
Last updated
06/19/2017
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