Healthcare Provider Details

I. General information

NPI: 1861677403
Provider Name (Legal Business Name): THE MINISTRY OF ANOTHER CHANCE HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2008
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431 DREWRY ST
RICHMOND VA
23224-7817
US

IV. Provider business mailing address

1431 DREWRY ST
RICHMOND VA
23224-7817
US

V. Phone/Fax

Practice location:
  • Phone: 804-878-7951
  • Fax:
Mailing address:
  • Phone: 804-878-7951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberT64286699
License Number StateVA

VIII. Authorized Official

Name: MRS. CHERYL MARICA MARONEY-BEAVER
Title or Position: OWNER
Credential:
Phone: 804-878-7951