Healthcare Provider Details

I. General information

NPI: 1477532984
Provider Name (Legal Business Name): FARRAR'S INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 12/02/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 MAIN ST
CLIFTON FORGE VA
24422-1177
US

IV. Provider business mailing address

PO BOX 637
CLIFTON FORGE VA
24422-0637
US

V. Phone/Fax

Practice location:
  • Phone: 540-862-8820
  • Fax: 540-862-8822
Mailing address:
  • Phone: 540-862-8820
  • Fax: 540-862-8822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberHSP-0681
License Number StateVA

VIII. Authorized Official

Name: GLENN ROBERT PERRY
Title or Position: CEO
Credential:
Phone: 540-862-8820