MEDICARE: THE JUILLIARD CORPORATION

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1922695428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE JUILLIARD CORPORATION

Provider Business Mailing Address
First Line	:	227 HAWTHORN RD
Second Line	:
City	:	SALEM
State	:	VA
Zip	:	24153-2749
Country	:	US
Telephone Number	:	540-200-5087
Fax Number	:

Provider Business Practice Location Address
First Line	:	1627 E MAIN ST
Second Line	:
City	:	SALEM
State	:	VA
Zip	:	24153-4526
Country	:	US
Telephone Number	:	540-200-5087
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JEFFREY JUILLIARD HOWARD
Credential	:	MBA
Telephone Number	:	540-200-5087

Provider Enumeration Date	:	12/30/2020
Last Update Date	:	12/30/2020

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Directions to “THE JUILLIARD CORPORATION ” Practice Location

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