Organization
PENNIX TENDER HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LEE PENNIX (OWNER)
(434) 610-3076
Entity
Organization
Contact information
Practice address
11055 STONEWALL RD, APPOMATTOX, VA 24522-8589
(434) 610-3076
Mailing address
11055 STONEWALL RD, APPOMATTOX, VA 24522-8589
(434) 610-3076
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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