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Steven Dwayne Mize
Home Health Agency in South Boston, Virginia
NPI 1538670013

Steven Dwayne Mize is a Home Health Agency based in South Boston, VA. Steven Dwayne Mize practices in South Boston, VA. The NPI Number for Steven Dwayne Mize is 1538670013 and holds a License No. (Virginia).

The current practice location address for Steven Dwayne Mize is 606 Broad St, South Boston, VA and can be reached out via phone at 434-575-5200 and via fax at 434-575-5054.

Location: 606 Broad St, South Boston, VA, 24592-0776
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538670013
Provider Name
Steven Dwayne Mize
Credential
Provider Entity Type
Individual
Gender
Male
Address
606 Broad St, South Boston, VA, 24592-0776
Phone Number
434-575-5200
Fax Number
434-575-5054
Provider Enumeration Date
10/24/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1255419164 05 VA
institution
Provider Business Practice Location Address Details
Address
606 Broad St
City
South Boston
State
Virginia
Zip
24592-3200
Phone Number
434-575-5200
Fax Number
434-575-5054
person
Provider Business Mailing Address Details
Address
606 Broad St
City
South Boston
State
Virginia
Zip
24592-3200
Phone Number
434-575-5200
Fax Number
434-575-5054
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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