Healthcare Provider Details

I. General information

NPI: 1699812404
Provider Name (Legal Business Name): GREATER UNITY ADULT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 10/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4240 BONNIEBANK RD
NORTH CHESTERFIELD VA
23234-6602
US

IV. Provider business mailing address

4240 BONNIEBANK RD
NORTH CHESTERFIELD VA
23234-6602
US

V. Phone/Fax

Practice location:
  • Phone: 804-986-7900
  • Fax:
Mailing address:
  • Phone: 804-986-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. EUGENE THOMAS
Title or Position: OWNER
Credential: MBA
Phone: 804-622-6213