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NPI 1962407700

OrganizationActive

Crater Community Hospice Inc

NPI 1962407700 · Community Based Hospice Care Agency · Petersburg, VA

Provider details

NPI number: 1962407700
Entity type: Organization
Primary specialty: Community Based Hospice Care AgencyAgencies
Authorized official: Brenda Mitchell, Ceo
License: 0515-15 (VA)

Practice location

3916 S Crater Rd

Petersburg, VA 23805-9202

Phone: (804) 526-4300

Fax: (804) 526-4924

More VA providers

Mailing address

3916 S Crater Rd

Petersburg, VA 23805-9202

Registry dates

Enumerated: 2005-06-17
Last updated: 2010-06-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Crater Community Hospice Inc — NPI 1962407700, Petersburg, VA | NPI Central