Healthcare Provider Details

I. General information

NPI: 1760993869
Provider Name (Legal Business Name): F.C. OF VIRGINIA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2017
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4510 HOLLAND OFFICE PARK STE 503
VIRGINIA BEACH VA
23452-1140
US

IV. Provider business mailing address

3220 KELLER SPRINGS RD STE 108
CARROLLTON TX
75006-5911
US

V. Phone/Fax

Practice location:
  • Phone: 757-787-7202
  • Fax:
Mailing address:
  • Phone: 214-445-3750
  • Fax: 214-445-3900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOHN M. KUNYSZ JR.
Title or Position: CEO
Credential:
Phone: 214-445-3750