Organization
PETERSBURG ADULT HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM BRANDVEEN (ADMINISTRATOR)
(804) 861-8944
Entity
Organization
Contact information
Practice address
130 MCKEEVER ST, PETERSBURG, VA 23803-4302
(804) 861-8944
Mailing address
130 MCKEEVER ST, PETERSBURG, VA 23803-4302
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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