MEDICARE: THE ARC OF VIRGINIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1043915333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ARC OF VIRGINIA

Provider Business Mailing Address
First Line	:	2147 STAPLES MILL RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-2905
Country	:	US
Telephone Number	:	804-649-8481
Fax Number	:

Provider Business Practice Location Address
First Line	:	2147 STAPLES MILL RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-2905
Country	:	US
Telephone Number	:	804-649-8481
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	TONYA MILLING
Credential	:
Telephone Number	:	804-649-8481

Provider Enumeration Date	:	04/04/2023
Last Update Date	:	04/04/2023

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