Healthcare Provider Details

I. General information

NPI: 1124149463
Provider Name (Legal Business Name): FRANKLIN COUNTY DEPARTMENT OF AGING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 02/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 TANYARD RD
ROCKY MOUNT VA
24151-1516
US

IV. Provider business mailing address

136 TANYARD RD
ROCKY MOUNT VA
24151-1516
US

V. Phone/Fax

Practice location:
  • Phone: 540-483-9238
  • Fax: 540-489-6264
Mailing address:
  • Phone: 540-483-9238
  • Fax: 540-489-6264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateVA

VIII. Authorized Official

Name: MS. ROSE N BOYD
Title or Position: DIRECTOR
Credential:
Phone: 540-483-9238