| Blended Whole Llc | |
|
4219 Cameron Rd Hopewell VA 23860-1690 | |
| (804) 704-9931 | |
| Not Available |
| Full Name | Blended Whole Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4219 Cameron Rd, Hopewell, Virginia |
| Authorized Official Name and Position | Joan White (OWNER) |
| Authorized Official Contact | 8047049931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blended Whole Llc 11533 Busy St Ste 207 North Chesterfield VA 23236-4073 Ph: (804) 704-9931 | Blended Whole Llc 4219 Cameron Rd Hopewell VA 23860-1690 Ph: (804) 704-9931 |
| NPI Number | 1083496541 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083496541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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