MEDICARE: VIRGINIA HEALTHCARE SERVICES OF RICHMOND 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1770894289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA HEALTHCARE SERVICES OF RICHMOND LLC

Provider Business Mailing Address
First Line	:	3900 WESTERRE PKWY
Second Line	:	SUITE 300
City	:	RICHMOND
State	:	VA
Zip	:	23233-1478
Country	:	US
Telephone Number	:	804-477-8716
Fax Number	:	804-477-8718

Provider Business Practice Location Address
First Line	:	3900 WESTERRE PKWY
Second Line	:	SUITE 300
City	:	RICHMOND
State	:	VA
Zip	:	23233-1478
Country	:	US
Telephone Number	:	804-477-8716
Fax Number	:	804-477-8718

Authorized Official
Title or Position	:	CLINICAL SERVICES DIRECTOR
Name	:	MS. BETTY SALE COREY
Credential	:	RN
Telephone Number	:	703-333-5288

Provider Enumeration Date	:	06/30/2010
Last Update Date	:	06/30/2010

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