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NPI Code Detail

MEDICARE: UNITED & EMPOWERED CARE, INC

MEDICARE: UNITED & EMPOWERED CARE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment Facility585-08-013VA

General Provider Information

NPI Number : 1023454394
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED & EMPOWERED CARE, INC
Provider Business Mailing Address
First Line : 191 FOX HILL RD
Second Line : SUITE A
City : HAMPTON
State : VA
Zip : 23669-2360
Country : US
Telephone Number : 757-725-2336
Fax Number :
Provider Business Practice Location Address
First Line : 191 FOX HILL RD
Second Line : SUITE A
City : HAMPTON
State : VA
Zip : 23669-2360
Country : US
Telephone Number : 757-725-2336
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. VALDA CLAIBORNE
Credential :
Telephone Number : 757-725-2336
Provider Enumeration Date : 05/14/2013
Last Update Date : 05/14/2013

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Directions to “UNITED & EMPOWERED CARE, INC ” Practice Location

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