Organization
OPTIMUM IN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA ELANDA ATHEY (OWNER/PRESIDENT)
(804) 546-9335
Entity
Organization
Contact information
Practice address
919 ROSEWOOD TER, PETERSBURG, VA 23805-1434
(804) 546-9335
Mailing address
919 ROSEWOOD TER, PETERSBURG, VA 23805-1434
(804) 546-9335
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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