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Organization

S&S HEALTHCARE, INC.

Active
Other names
Interim HealthCare
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MITCHELL PATRICK DAVIS (PRESIDENT / CEO)
(540) 774-8686
Entity
Organization

Contact information

Practice address
4395 ELECTRIC RD, ROANOKE, VA 24018-0721
(540) 774-8686
(540) 774-0279
Mailing address
4395 ELECTRIC RD, ROANOKE, VA 24018-0721
(540) 774-8686
(540) 774-0279

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0087001506
MEDICAID API PERSONAL CARE
VA
01
0087700180
MEDICAID API RESPITE CARE
VA
01
1437101029
MEDICARE
VA
Enumeration date
04/07/2011
Last updated
04/07/2011
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