MEDICARE: ASPIRE HEALTH SERVICES 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1720858202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPIRE HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	225 CROSLAND AVE
Second Line	:
City	:	DANVILLE
State	:	VA
Zip	:	24540-1321
Country	:	US
Telephone Number	:	434-441-3498
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 PARK AVENUE EXT
Second Line	:
City	:	DANVILLE
State	:	VA
Zip	:	24541-4214
Country	:	US
Telephone Number	:	434-441-3498
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CEPHUS DEMARCUS MORRISON
Credential	:
Telephone Number	:	434-441-3498

Provider Enumeration Date	:	01/04/2024
Last Update Date	:	01/04/2024

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Directions to “ASPIRE HEALTH SERVICES LLC ” Practice Location

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