MEDICARE: OLMEJA AVOCACY SERVICES

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	251S00000X	Community/Behavioral Health Agency	251S00000X	VA

General Provider Information

NPI Number	:	1316257678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLMEJA AVOCACY SERVICES

Provider Business Mailing Address
First Line	:	10045 MIDLOTHIAN TPKE STE 201
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-4857
Country	:	US
Telephone Number	:	804-301-5925
Fax Number	:

Provider Business Practice Location Address
First Line	:	10045 MIDLOTHIAN TPKE STE 201
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-4857
Country	:	US
Telephone Number	:	804-301-5925
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. BYRON LINDSEY MEEKINS
Credential	:
Telephone Number	:	804-301-5925

Provider Enumeration Date	:	10/20/2010
Last Update Date	:	10/20/2010

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