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Organization
SALT & LIGHT
Active
Organization
SALT & LIGHT
Active
Parent organization
AVERY P & COMPANY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERY P & COMPANY, LLC
Authorized official
TAMI DOUGLASS LPN (MANAGER)
(804) 585-1185
Entity
Organization
Contact information
Practice address
8401 MAYLAND DR # 10968, RICHMOND, VA 23294-4648
(804) 585-1185
Mailing address
8401 MAYLAND DR # 10968, RICHMOND, VA 23294-4648
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/24/2026
Last updated
09/24/2026
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