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NPI Code Detail

MEDICARE: ATOUCHOFCARE

MEDICARE: ATOUCHOFCARE
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
1251B00000XCase Management Agency0179763625VA

General Provider Information

NPI Number : 1477917078
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATOUCHOFCARE
Provider Business Mailing Address
First Line : 304 CONFEDERATE RUN CT
Second Line :
City : HENRICO
State : VA
Zip : 23075-1100
Country : US
Telephone Number : 804-321-4268
Fax Number : 804-321-4254
Provider Business Practice Location Address
First Line : 304 CONFEDERATE RUN CT
Second Line :
City : HENRICO
State : VA
Zip : 23075-1100
Country : US
Telephone Number : 804-321-4268
Fax Number : 804-321-4254
Authorized Official
Title or Position : SERVICE FACILITATOR
Name : KEYONA HENDERSON
Credential :
Telephone Number : 804-321-4268
Provider Enumeration Date : 04/09/2016
Last Update Date : 04/09/2016

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Directions to “ATOUCHOFCARE ” Practice Location

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