Organization
HOME & HEART HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYE D. PEGELOW R.N. (ADMINISTRATIVE DIRECTOR)
(540) 899-3666
Entity
Organization
Contact information
Practice address
701 KENMORE AVE, SUITE 101A, FREDERICKSBURG, VA 22401-5737
(540) 899-3666
(540) 899-3077
Mailing address
701 KENMORE AVE, SUITE 101A, FREDERICKSBURG, VA 22401-5737
(540) 899-3666
(540) 899-3077
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114412
BCBS - ANTHEM
VA
05
—
49-7422-1
—
VA
Enumeration date
02/07/2007
Last updated
06/21/2018
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