Organization
CRATER COMMUNITY HOSPICE INC
Active
Organization
CRATER COMMUNITY HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA D. MITCHELL RN, MSN, CS, CHPN (CEO)
(804) 526-4300
Entity
Organization
Contact information
Practice address
3916 S CRATER RD, PETERSBURG, VA 23805-9202
(804) 526-4300
(804) 526-4924
Mailing address
3916 S CRATER RD, PETERSBURG, VA 23805-9202
(804) 526-4300
(804) 526-4337
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0515-15
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004910192
—
VA
01
—
337221
BLUE CROSS PROVIDER ID
—
Enumeration date
06/17/2005
Last updated
06/09/2010
Update your record
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