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Organization

OLD DOMINION ADULT DAY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISABELLE HILLIARD RN (PRESIDENT)
(804) 733-9093
Entity
Organization

Contact information

Practice address
2787 S CRATER RD, SUITE D, PETERSBURG, VA 23805-2471
(804) 733-9037
(807) 733-1169
Mailing address
2787 S CRATER RD, SUITE D, PETERSBURG, VA 23805-2471
(804) 733-9037
(807) 733-1169

Taxonomy

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

Other

Enumeration date
11/24/2006
Last updated
08/22/2020
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