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Organization
DISTRICT THREE GOVERNMENTAL COOPERATIVE
Active
Organization
DISTRICT THREE GOVERNMENTAL COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE GUY (EXECUTIVE DIRECTOR)
(276) 783-8157
Entity
Organization
Contact information
Practice address
4453 LEE HWY, MARION, VA 24354-4269
(276) 783-8157
(276) 783-3003
Mailing address
4453 LEE HWY, MARION, VA 24354-4269
(276) 783-8157
(276) 783-3003
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087402670
—
VA
Enumeration date
03/06/2017
Last updated
03/06/2017
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