Provider Demographics
NPI:1508268046
Name:AT HOME CARE STAFFING-FREDERICKSBURG
Entity Type:Organization
Organization Name:AT HOME CARE STAFFING-FREDERICKSBURG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-358-0631
Mailing Address - Street 1:1701 FALL HILL AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3510
Mailing Address - Country:US
Mailing Address - Phone:804-358-0631
Mailing Address - Fax:540-302-8033
Practice Address - Street 1:1003 MAHONE ST
Practice Address - Street 2:SUITE A
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-6214
Practice Address - Country:US
Practice Address - Phone:804-358-0631
Practice Address - Fax:804-497-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health