| Supportive Care, Inc. | |
|
2825 S Crater Rd Unit C Petersburg VA 23805-2473 | |
| (919) 931-1325 | |
| Not Available |
| Full Name | Supportive Care, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2825 S Crater Rd, Petersburg, Virginia |
| Authorized Official Name and Position | Chenise Jones (CEO) |
| Authorized Official Contact | 9199311325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care, Inc. 2825 S Crater Rd Unit C Petersburg VA 23805-2473 Ph: (919) 931-1325 | Supportive Care, Inc. 2825 S Crater Rd Unit C Petersburg VA 23805-2473 Ph: (919) 931-1325 |
| NPI Number | 1497078232 |
|---|---|
| Provider Enumeration Date | 03/08/2010 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497078232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 07193048 (Virginia) | Primary |
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