| S. Washington, Llc | |
|
3606 Boulevard Ste D Colonial Heights VA 23834-1341 | |
| (302) 593-3487 | |
| (804) 251-1416 |
| Full Name | S. Washington, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3606 Boulevard Ste D, Colonial Heights, Virginia |
| Authorized Official Name and Position | Shardae Washington (OWNER) |
| Authorized Official Contact | 3025933487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. Washington, Llc Po Box 3715 Chester VA 23831-8468 Ph: (302) 593-3487 | S. Washington, Llc 3606 Boulevard Ste D Colonial Heights VA 23834-1341 Ph: (302) 593-3487 |
| NPI Number | 1992292627 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 04/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992292627 | NPI | - | NPPES |
| 1568865855 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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