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NPI Code Detail

MEDICARE: VOLUNTEERS OF AMERICA CHESAPEAKE, INC.

MEDICARE: VOLUNTEERS OF AMERICA CHESAPEAKE, INC.
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
1324500000XSubstance Abuse Rehabilitation Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1175-01-006OTHERVAINPATIENT SUBSTANCE ABUSE -ADULT

General Provider Information

NPI Number : 1619514957
Entity Type Code : Organization
Provider Name (Legal Business Name) : VOLUNTEERS OF AMERICA CHESAPEAKE, INC.
Provider Business Mailing Address
First Line : 1554 COLUMBIA PIKE
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-4667
Country : US
Telephone Number : 703-228-0033
Fax Number :
Provider Business Practice Location Address
First Line : 1554 COLUMBIA PIKE
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-4667
Country : US
Telephone Number : 703-228-0033
Fax Number :
Authorized Official
Title or Position : ASSISTANT CONTROLLER
Name : TANEA MANNING
Credential : DO
Telephone Number : 301-955-9476
Provider Enumeration Date : 12/05/2019
Last Update Date : 12/05/2019

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Directions to “VOLUNTEERS OF AMERICA CHESAPEAKE, INC. ” Practice Location

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