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NPI Code Detail

MEDICARE: KARRIS FACILITATION LLC

MEDICARE: KARRIS FACILITATION LLC
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
1171M00000XCase Manager/Care Coordinator
2251B00000XCase Management Agency

General Provider Information

NPI Number : 1629826201
Entity Type Code : Organization
Provider Name (Legal Business Name) : KARRIS FACILITATION LLC
Provider Business Mailing Address
First Line : 2743 BELLEVUE RD
Second Line :
City : FOREST
State : VA
Zip : 24551-2162
Country : US
Telephone Number : 434-209-3533
Fax Number :
Provider Business Practice Location Address
First Line : 2743 BELLEVUE RD
Second Line :
City : FOREST
State : VA
Zip : 24551-2162
Country : US
Telephone Number : 434-209-3533
Fax Number :
Authorized Official
Title or Position : OWNER/OPERATOR
Name : MRS. KATHRYN BARBER
Credential : EDS, MED, BS
Telephone Number : 434-209-3533
Provider Enumeration Date : 05/09/2024
Last Update Date : 11/07/2024

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Directions to “KARRIS FACILITATION LLC ” Practice Location

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