Organization
HOME ANCILLARY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN KUCERA (CEO)
(804) 727-0030
Entity
Organization
Contact information
Practice address
3900 WESTERRE PKWY, SUITE 300, RICHMOND, VA 23233-1478
(804) 727-0030
(804) 727-0004
Mailing address
3900 WESTERRE PKWY, SUITE 300, RICHMOND, VA 23233-1478
(804) 727-0030
(804) 727-0004
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
VA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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