Organization
PAYNE SWEET HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OPHELIA M PAYNE (SERVICE FACILITATOR)
(540) 967-0253
Entity
Organization
Contact information
Practice address
601 NANNIE BURTON RD, LOUISA, VA 23093-2518
(540) 967-0253
(540) 967-0612
Mailing address
601 NANNIE BURTON RD, LOUISA, VA 23093-2518
(540) 967-0253
(540) 967-0612
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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