| Bon Secours Senior Care Services | |
|
1501 Maple Ave Ste 100 Richmond VA 23226-2553 | |
| (804) 893-8627 | |
| (804) 673-5497 |
| Full Name | Bon Secours Senior Care Services |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1501 Maple Ave Ste 100, Richmond, Virginia |
| Authorized Official Name and Position | Stephen Quiriconi (CFO) |
| Authorized Official Contact | 8042818301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Senior Care Services 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | Bon Secours Senior Care Services 1501 Maple Ave Ste 100 Richmond VA 23226-2553 Ph: (804) 893-8627 |
| NPI Number | 1508125386 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 09/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508125386 | NPI | - | NPPES |
| C06778 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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