Organization
@ HOME INDEPENDENCE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MICHELE PHILLIPS (MANAGER)
(276) 963-3133
Entity
Organization
Contact information
Practice address
158 MEADE ST, CEDAR BLUFF, VA 24609-9342
(276) 963-3133
(276) 889-0350
Mailing address
158 MEADE ST, CEDAR BLUFF, VA 24609-9342
(276) 963-3133
(276) 889-0350
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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