Healthcare Provider Details

I. General information

NPI: 1073883633
Provider Name (Legal Business Name): NFRO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2012
Last Update Date: 02/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5012A PLANTATION RD
ROANOKE VA
24019-5238
US

IV. Provider business mailing address

9120 MIDLOTHIAN TPKE
NORTH CHESTERFIELD VA
23235-5033
US

V. Phone/Fax

Practice location:
  • Phone: 804-560-9400
  • Fax: 804-272-8833
Mailing address:
  • Phone: 804-560-9400
  • Fax: 804-272-8833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO-12468
License Number StateVA

VIII. Authorized Official

Name: MRS. LIZ HINES
Title or Position: BILLING MANAGER
Credential:
Phone: 804-560-9400