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Crater Community Hospice Inc
Community Based Hospice Care Agency in Petersburg, Virginia
NPI 1962407700

Crater Community Hospice Inc is a Community Based Hospice Care Agency based in Petersburg, VA. Crater Community Hospice Inc practices in Petersburg, VA. The NPI Number for Crater Community Hospice Inc is 1962407700 and holds a License No. 0515-15 (Virginia).

The current practice location address for Crater Community Hospice Inc is 3916 S Crater Rd, Petersburg, VA and can be reached out via phone at 804-526-4300 and via fax at 804-526-4924.

Location: 3916 S Crater Rd, Petersburg, VA, 23805-9202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962407700
Provider Name
Crater Community Hospice Inc
Credential
Provider Entity Type
Organization
Address
3916 S Crater Rd, Petersburg, VA, 23805-9202
Phone Number
804-526-4300
Fax Number
804-526-4924
Provider Enumeration Date
06/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
337221 01 BLUE CROSS PROVIDER ID
004910192 05 VA
institution
Provider Business Practice Location Address Details
Address
3916 S Crater Rd
City
Petersburg
State
Virginia
Zip
23805-9202
Phone Number
804-526-4300
Fax Number
804-526-4924
person
Provider Business Mailing Address Details
Address
3916 S Crater Rd
City
Petersburg
State
Virginia
Zip
23805-9202
Phone Number
804-526-4300
Fax Number
804-526-4924
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
0515-15 (Virginia)
Definition
Definition to come...
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