| Faith At Work Llc | |
|
110 E Hicks St Lawrenceville VA 23868-1805 | |
| (434) 532-3069 | |
| Not Available |
| Full Name | Faith At Work Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 E Hicks St, Lawrenceville, Virginia |
| Authorized Official Name and Position | Angela Allen-blaine (APRN/OWNER) |
| Authorized Official Contact | 4349170970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith At Work Llc 110 E Hicks St Lawrenceville VA 23868-1805 Ph: (434) 532-3069 | Faith At Work Llc 110 E Hicks St Lawrenceville VA 23868-1805 Ph: (434) 532-3069 |
| NPI Number | 1053187559 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 0749633162 |
|---|---|
| Medicare Enrollment ID | O20240201000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053187559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Angela Allen-blaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063924405 PECOS PAC ID: 1759642077 Enrollment ID: I20180301002304 |
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