Organization · Type 2 NPI

Old Dominion Adult Day Care

Community Based Hospice Care Agency · Petersburg, VA

NPI number 1003936220 Active

Practice location

2787 S Crater Rd, Suite D
Petersburg, VA 23805-2471

Fax (804) 733-1169

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency Primary 251G00000XNone listed

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About NPI 1003936220

Old Dominion Adult Day Care's National Provider Identifier is 1003936220, issued on Mar 30, 2007. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Petersburg, VA. The record was last updated on Aug 22, 2020.