| Community Visions Llc | |
|
17932 Fraley Blvd Ste 205 Dumfries VA 22026-2456 | |
| (703) 680-5127 | |
| (703) 878-1202 |
| Full Name | Community Visions Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 17932 Fraley Blvd Ste 205, Dumfries, Virginia |
| Authorized Official Name and Position | Jennier Chellis (VICE PRESIDENT) |
| Authorized Official Contact | 7032296121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Visions Llc 17932 Fraley Blvd Ste 205 Dumfries VA 22026-2456 Ph: (703) 680-5127 | Community Visions Llc 17932 Fraley Blvd Ste 205 Dumfries VA 22026-2456 Ph: (703) 680-5127 |
| NPI Number | 1447651070 |
|---|---|
| Provider Enumeration Date | 09/15/2014 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447651070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1305-01-001 (Virginia) | Primary |
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