# WIRED NEURO CARE, LLC

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

## Provider details

- **NPI number:** 1265103766
- **Authorized official:** BRIANN MAXWELL (CEO)
- **Authorized official phone:** (702) 272-7883

## Contact information

- **Practice address:** 2817 HILLIARD RD APT C, HENRICO, VA 23228-4463
- **Practice address phone:** (702) 272-7883
- **Mailing address:** 2817 HILLIARD RD APT C, HENRICO, VA 23228-4463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2021
- **Last updated:** 09/24/2021