Organization
PROFESSIONAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA SEAL (EXECUTIVE)
(434) 213-5712
Entity
Organization
Contact information
Practice address
502 PHOEBE POND RD, CONCORD, VA 24538-3201
(434) 213-5712
Mailing address
502 PHOEBE POND RD, CONCORD, VA 24538-3201
(434) 213-5712
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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