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Organization

ST MARYS HOME CARE SERVICES OF VIRGINIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEXANDER BASS (ADMINISTRATOR)
(919) 363-1462
Entity
Organization

Contact information

Practice address
707 LONDON ST, PORTSMOUTH, VA 23704-2412
(757) 399-0848
(757) 399-0849
Mailing address
707 LONDON ST, PORTSMOUTH, VA 23704-2412
(757) 399-0848
(757) 399-0849

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-08448
VA

Other

Enumeration date
11/08/2007
Last updated
11/08/2007
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