MEDICARE: SURRY DEPARTMENT OF SOCIAL 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1538324298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURRY DEPARTMENT OF SOCIAL SERVICES

Provider Business Mailing Address
First Line	:	45 SCHOOL STREET
Second Line	:
City	:	SURRY
State	:	VA
Zip	:	23883-0263
Country	:	US
Telephone Number	:	757-294-5240
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 SCHOOL STREET
Second Line	:
City	:	SURRY
State	:	VA
Zip	:	23883
Country	:	US
Telephone Number	:	757-294-5240
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	VALERIE PIERCE
Credential	:
Telephone Number	:	757-294-5240

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	07/22/2008

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Directions to “SURRY DEPARTMENT OF SOCIAL SERVICES ” Practice Location

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