Nine Palms 1, LLC
NPI #1881846087 in Gloucester, Virginia
Provider Information
- NPI Number
- 1881846087
- Entity Type
- Organization
- Organization Name
- Nine Palms 1, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NINE PALMS 1, LP
- Primary Specialty
- Home Health
- Enumeration Date
- Oct 21, 2008
- Last Updated
- May 31, 2018
Practice Location
- Address
- 6606 MAIN ST
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061
- Phone
- (804) 758-1311
Authorized Official
- Name
- MR. PAUL KUSSEROW
- Title
- CEO
- Phone
- (225) 292-2031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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