Organization
PERSONAL HOMECARE INC
Active
Other names
1st Care at Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED LEE BURKHOLDER JR. (ADMINISTRATOR)
(434) 572-1582
Entity
Organization
Contact information
Practice address
425 MAIN STREET, SOUTH BOSTON, VA 24592-1006
(434) 572-1582
(434) 572-2631
Mailing address
PO BOX 1006, 425 MAIN STREET, SOUTH BOSTON, VA 24592-1006
(434) 572-1582
(434) 572-2631
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
333300000X
Emergency Response System Companies
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
02/02/2007
Last updated
11/20/2023
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