| Mama's House, Llc. | |
|
2847 Stanwix Ln North Chesterfield VA 23234-5041 | |
| (804) 716-7214 | |
| Not Available |
| Full Name | Mama's House, Llc. |
|---|---|
| Speciality | Counselor |
| Location | 2847 Stanwix Ln, North Chesterfield, Virginia |
| Authorized Official Name and Position | Loretta A Mccray (OWNER) |
| Authorized Official Contact | 8045411529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mama's House, Llc. 2847 Stanwix Ln North Chesterfield VA 23234-5041 Ph: () - | Mama's House, Llc. 2847 Stanwix Ln North Chesterfield VA 23234-5041 Ph: (804) 716-7214 |
| NPI Number | 1518316975 |
|---|---|
| Provider Enumeration Date | 06/07/2016 |
| Last Update Date | 06/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518316975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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