Organization
KARLISE IN-HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA MOYE RANDOLPH (CEO/PRESIDENT)
(434) 842-2800
Entity
Organization
Contact information
Practice address
6774 JAMES MADISON HWY, SUITE 400, FORK UNION, VA 23055-2084
(434) 842-2800
(434) 842-2801
Mailing address
PO BOX 703, FORK UNION, VA 23055-0703
(434) 842-2800
(434) 842-2801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-09578
VA
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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