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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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