Healthcare Provider Details

I. General information

NPI: 1255227575
Provider Name (Legal Business Name): ACCESS SERVICE FACILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4018 PLANK RD STE B
FREDERICKSBURG VA
22407-0144
US

IV. Provider business mailing address

4018 PLANK RD STE B
FREDERICKSBURG VA
22407-0144
US

V. Phone/Fax

Practice location:
  • Phone: 540-455-5465
  • Fax:
Mailing address:
  • Phone: 540-455-5465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARGO DINKINS
Title or Position: RN
Credential:
Phone: 540-455-5465