Organization
AT HOME SERVICE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT E PETERSON (OWNER)
(434) 258-7818
Entity
Organization
Contact information
Practice address
311 SOYBEAN DR, APPOMATTOX, VA 24522-4308
(434) 258-7818
(434) 664-2023
Mailing address
311 SOYBEAN DR, APPOMATTOX, VA 24522-4308
(434) 258-7818
(434) 664-2023
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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