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Organization

VIRGINIA HOMECARE, LLC

Active
Other names
Advanced Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization

Contact information

Practice address
4419 PHEASANT RIDGE RD STE 103, ROANOKE, VA 24014-5267
(540) 278-2890
(540) 278-2891
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427216704
VA
05
4974549
VA
Enumeration date
05/23/2008
Last updated
02/03/2023
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