Organization
AT HOME PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA ANN SLATE (ADMINISTRATOR)
(276) 596-9500
Entity
Organization
Contact information
Practice address
2032 CEDAR VALLEY DR, SUITE1, CEDAR BLUFF, VA 24609
(276) 596-9500
(276) 596-9501
Mailing address
PO BOX 645, CEDAR BLUFF, VA 24609-0645
(276) 596-9500
(276) 596-9501
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCO-07360
VA
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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