Organization
DAN RIVER HOME CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN CAROLINE FITZGERALD RN (ADMINISTRATOR)
(434) 797-9797
Entity
Organization
Contact information
Practice address
217 LYNN ST STE 106, DANVILLE, VA 24541-1237
(434) 797-9797
(434) 797-9798
Mailing address
217 LYNN ST STE 106, DANVILLE, VA 24541-1237
(434) 797-9797
(434) 797-9798
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-18856
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159192480
—
VA
05
—
0159574505
—
VA
Enumeration date
10/05/2017
Last updated
10/05/2017
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