Healthcare Provider Details

I. General information

NPI: 1902627185
Provider Name (Legal Business Name): ADVOCATING BETTER LIVES FOR EVERYONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26743 SLASH PINE CIR
RUTHER GLEN VA
22546-3506
US

IV. Provider business mailing address

26743 SLASH PINE CIR
RUTHER GLEN VA
22546-3506
US

V. Phone/Fax

Practice location:
  • Phone: 540-361-5383
  • Fax:
Mailing address:
  • Phone: 540-361-5383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHARNELE MARDNER
Title or Position: OWNER
Credential:
Phone: 540-361-5383