Healthcare Provider Details

I. General information

NPI: 1841675451
Provider Name (Legal Business Name): GILES HEALTH & FAMILY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2015
Last Update Date: 07/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 WENONAH AVE
PEARISBURG VA
24134-1667
US

IV. Provider business mailing address

701 WENONAH AVE
PEARISBURG VA
24134-1667
US

V. Phone/Fax

Practice location:
  • Phone: 540-921-3024
  • Fax:
Mailing address:
  • Phone: 540-921-3024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. HELEN WALLACE
Title or Position: DIRECTOR
Credential:
Phone: 540-921-3024