Organization
HCC PERSONAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W JACKSON NELMS IV (OWNER)
(804) 378-7780
Entity
Organization
Contact information
Practice address
1519 HUGUENOT RD STE 104, MIDLOTHIAN, VA 23113
(804) 378-7780
(804) 378-2677
Mailing address
1519 HUGUENOT RD STE 104, MIDLOTHIAN, VA 23113
(804) 378-7780
(804) 378-2677
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008702659
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009102566
—
VA
05
—
010004217
—
VA
Enumeration date
01/22/2007
Last updated
06/23/2008
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