| Heritage Adult Day Care Services, Inc. | |
|
9550 Midlothian Tpke Suite 106 Richmond VA 23235-4900 | |
| (804) 330-3600 | |
| (804) 330-3601 |
| Full Name | Heritage Adult Day Care Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9550 Midlothian Tpke, Richmond, Virginia |
| Authorized Official Name and Position | Elagib Elbashir (PRESIDENT) |
| Authorized Official Contact | 8043303600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Adult Day Care Services, Inc. Po Box 28723 Richmond VA 23228-8723 Ph: (804) 330-3600 | Heritage Adult Day Care Services, Inc. 9550 Midlothian Tpke Suite 106 Richmond VA 23235-4900 Ph: (804) 330-3600 |
| NPI Number | 1407080484 |
|---|---|
| Provider Enumeration Date | 05/06/2009 |
| Last Update Date | 05/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407080484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | C1S0313 (Virginia) | Primary |
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