MEDICARE: A AND R HEALTHCARE, 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	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	692	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	692	OTHER	VI	DMHMRSAS LICENSE NUMBER

General Provider Information

NPI Number	:	1760572994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A AND R HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	6020 HOLY NECK RD
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23437-9227
Country	:	US
Telephone Number	:	757-657-9444
Fax Number	:	757-657-9940

Provider Business Practice Location Address
First Line	:	6020 HOLY NECK RD
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23437-9227
Country	:	US
Telephone Number	:	757-657-9444
Fax Number	:	757-657-9940

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. GEORGE MCGASKEY
Credential	:	BA
Telephone Number	:	757-657-9444

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	06/19/2008

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Directions to “A AND R HEALTHCARE, LLC ” Practice Location

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