| Innovative Care Llc | |
|
Innovative Care Llc 5712 Oak Knoll Rd. Midlothian VA 23112-2400 | |
| (804) 608-6577 | |
| (855) 700-5593 |
| Full Name | Innovative Care Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | Innovative Care Llc, Midlothian, Virginia |
| Authorized Official Name and Position | Autumn Benson Richardson (OWNER/CEO) |
| Authorized Official Contact | 8046089704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Care Llc Innovative Care Llc 5712 Oak Knoll Rd. Midlothian VA 23112-2400 Ph: (804) 608-9704 | Innovative Care Llc Innovative Care Llc 5712 Oak Knoll Rd. Midlothian VA 23112-2400 Ph: (804) 608-6577 |
| NPI Number | 1689202012 |
|---|---|
| Provider Enumeration Date | 03/31/2020 |
| Last Update Date | 01/07/2022 |
| Certification Date | 01/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689202012 | NPI | - | NPPES |
| 601450523 | Medicaid | VA |
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