Organization
HANDS 4 HOME DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA L BROOKMAN (OWNER)
(434) 239-4443
Entity
Organization
Contact information
Practice address
147 MILL RIDGE RD, LYNCHBURG, VA 24502-4341
(434) 239-4443
Mailing address
147 MILL RIDGE RD, LYNCHBURG, VA 24502-4341
(434) 609-4443
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
305S00000X
Point of Service
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A4
A4
—
Enumeration date
05/29/2013
Last updated
08/22/2013
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