Healthcare Provider Details

I. General information

NPI: 1700840451
Provider Name (Legal Business Name): DICKENSON COUNTY HOME HEALTH AND HOSPICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 04/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 CHASE ST
CLINTWOOD VA
24228-5991
US

IV. Provider business mailing address

PO BOX 1187
CLINTWOOD VA
24228-1187
US

V. Phone/Fax

Practice location:
  • Phone: 276-926-6600
  • Fax: 276-926-6783
Mailing address:
  • Phone: 276-926-6600
  • Fax: 276-926-6783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH YATES
Title or Position: OWNER
Credential:
Phone: 276-926-6600