# 1ST ADVANCED PEDIATRIC &ADULT HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104377530
- **Authorized official:** MRS. CAROLYN ELIZABETH BRYANT-TAYLOR (OWNER)
- **Authorized official phone:** (240) 416-1272

## Contact information

- **Practice address:** 1518 WILLIOW LAWN DR., RICHMOND, VA 23230
- **Practice address phone:** (240) 416-1272
- **Practice address fax:** (804) 823-2647
- **Mailing address:** 1518 WILLOW LAWN DR, RICHMOND, VA 23230-3419
- **Mailing address phone:** (240) 416-1272
- **Mailing address fax:** (804) 823-2647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2016
- **Last updated:** 10/20/2016