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NPI Code Detail

MEDICARE: NOUR DAY SUPPORT LLC

MEDICARE: NOUR DAY SUPPORT 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
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1982080297
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOUR DAY SUPPORT LLC
Provider Business Mailing Address
First Line : 1154 WILKINSON RD
Second Line :
City : RICHMOND
State : VA
Zip : 23227-1623
Country : US
Telephone Number : 804-221-5164
Fax Number :
Provider Business Practice Location Address
First Line : 1154 WILKINSON RD
Second Line :
City : RICHMOND
State : VA
Zip : 23227-1623
Country : US
Telephone Number : 804-221-5164
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : HALA OSMAN
Credential :
Telephone Number : 804-221-5164
Provider Enumeration Date : 08/10/2015
Last Update Date : 08/10/2015

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Directions to “NOUR DAY SUPPORT LLC ” Practice Location

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