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1730456997
PETERSBURG ADULT HEALTHCARE
PETERSBURG, VA
NPI
1730456997
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Entity Type
Organization
Authorized Contact
KIM BRANDVEEN
Administrator
804-861-8944
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2011-11-16
Last Update Date
2011-11-16
Business Address
PETERSBURG ADULT HEALTHCARE
130 MCKEEVER ST
PETERSBURG, VA 23803-4302
Phone number: 804-861-8944
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Mailing Address
PETERSBURG ADULT HEALTHCARE
130 MCKEEVER ST
PETERSBURG, VA 23803-4302
Phone number:
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