| Virginia Healthcare Supports, Inc | |
|
4104 E Parham Rd Ste B Henrico VA 23228-2746 | |
| (240) 481-2418 | |
| Not Available |
| Full Name | Virginia Healthcare Supports, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4104 E Parham Rd Ste B, Henrico, Virginia |
| Authorized Official Name and Position | Aiah Barku Koroma (PROGRAM COORDINATOR) |
| Authorized Official Contact | 2404812418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Healthcare Supports, Inc 4104 E Parham Rd Ste B Henrico VA 23228-2746 Ph: (240) 481-2418 | Virginia Healthcare Supports, Inc 4104 E Parham Rd Ste B Henrico VA 23228-2746 Ph: (240) 481-2418 |
| NPI Number | 1962194670 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962194670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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