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NPI Code Detail

MEDICARE: THE SPECIAL CARE UNIT, LLC

MEDICARE: THE SPECIAL CARE UNIT, LLC
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
1253Z00000XIn Home Supportive Care AgencyVA

General Provider Information

NPI Number : 1568701142
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE SPECIAL CARE UNIT, LLC
Provider Business Mailing Address
First Line : 3365 DILL AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23222-3323
Country : US
Telephone Number : 804-439-5425
Fax Number :
Provider Business Practice Location Address
First Line : 7400 BEAUFONT SPRINGS DR
Second Line : SUITE 300
City : NORTH CHESTERFIELD
State : VA
Zip : 23225-5556
Country : US
Telephone Number : 804-439-5425
Fax Number :
Authorized Official
Title or Position : OWNER
Name : XAVERIA DENEEN HANSOM
Credential :
Telephone Number : 804-439-5425
Provider Enumeration Date : 02/03/2013
Last Update Date : 02/03/2013

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Directions to “THE SPECIAL CARE UNIT, LLC ” Practice Location

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