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Organization

HASLUP PERSONAL CARE ENTERPRISES, LTD.

Active
Other names
Interim Personal Care & Support Services
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID NAGLE HASLUP (CEO)
(434) 295-5501
Entity
Organization

Contact information

Practice address
103 S PANTOPS DR STE 205, CHARLOTTESVILLE, VA 22911-8617
(434) 295-5501
(434) 295-4938
Mailing address
103 S PANTOPS DR STE 205, CHARLOTTESVILLE, VA 22911-8617
(434) 295-5501
(434) 295-4938

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HCO-2067
HOME CARE ORGANIZATION LICENSE
VA
Enumeration date
04/05/2019
Last updated
04/05/2019
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