Healthcare Provider Details

I. General information

NPI: 1033358874
Provider Name (Legal Business Name): A-FECK HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2009
Last Update Date: 02/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 WARE BOTTOM SPRING RD STE 212
CHESTER VA
23836-2599
US

IV. Provider business mailing address

1601 WARE BOTTOM SPRING RD STE 212
CHESTER VA
23836-2599
US

V. Phone/Fax

Practice location:
  • Phone: 804-681-0697
  • Fax: 804-681-0698
Mailing address:
  • Phone: 804-681-0697
  • Fax: 804-681-0698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO-09546
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHCO-09546
License Number StateVA

VIII. Authorized Official

Name: MRS. AGNES F ADOM
Title or Position: NURSING DIRECTOR/ADMINISTRATOR
Credential: RN
Phone: 804-681-0697