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Organization
SENIORWELL OF VIRGINIA LLC
Active
Organization
SENIORWELL OF VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MORONEY (CEO)
(844) 882-3127
Entity
Organization
Contact information
Practice address
7400 BEAUFONT SPRINGS DR STE 300, NORTH CHESTERFIELD, VA 23225-5519
(844) 882-3127
Mailing address
2100 E LAKE COOK RD STE 1000, BUFFALO GROVE, IL 60089-1999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
231H00000X
Audiologist
—
NULL
231H00000X
Audiologist
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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