MEDICARE: PERSONAL NURSING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		VA

General Provider Information

NPI Number	:	1184815565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL NURSING SERVICES

Provider Business Mailing Address
First Line	:	2209 W CARY ST APT A
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-5243
Country	:	US
Telephone Number	:	804-397-2375
Fax Number	:

Provider Business Practice Location Address
First Line	:	2209 W CARY ST APT A
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-5243
Country	:	US
Telephone Number	:	804-397-2375
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MRS. DOROTHEA B FORD
Credential	:
Telephone Number	:	804-397-2375

Provider Enumeration Date	:	08/09/2007
Last Update Date	:	08/09/2007

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Directions to “PERSONAL NURSING SERVICES ” Practice Location

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