| Guiding Paths Supportive Services, Llc | |
|
11361 Cedar Run Rd South Prince George VA 23805-4105 | |
| (804) 892-1378 | |
| Not Available |
| Full Name | Guiding Paths Supportive Services, Llc |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 11361 Cedar Run Rd, South Prince George, Virginia |
| Authorized Official Name and Position | Nita Viann Randolph Davison (PRESIDENT) |
| Authorized Official Contact | 8048921378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Paths Supportive Services, Llc 11361 Cedar Run Rd South Prince George VA 23805-4105 Ph: (804) 892-1378 | Guiding Paths Supportive Services, Llc 11361 Cedar Run Rd South Prince George VA 23805-4105 Ph: (804) 892-1378 |
| NPI Number | 1124498431 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 09/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124498431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
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