| Long Term Care Of America-virginia, Inc. | |
|
5000 Monument Ave Suite 102 Richmond VA 23230-3600 | |
| (804) 593-5146 | |
| (804) 477-7243 |
| Full Name | Long Term Care Of America-virginia, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5000 Monument Ave, Richmond, Virginia |
| Authorized Official Name and Position | Marc G Nevin (PRESIDENT) |
| Authorized Official Contact | 8045935146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Term Care Of America-virginia, Inc. 5000 Monument Ave Suite 102 Richmond VA 23230-3600 Ph: (804) 593-5146 | Long Term Care Of America-virginia, Inc. 5000 Monument Ave Suite 102 Richmond VA 23230-3600 Ph: (804) 593-5146 |
| NPI Number | 1104902386 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 03/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104902386 | NPI | - | NPPES |
| 005609241 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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