# WHEELER SUPPORTIVE SERVICES, INC.

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

## Provider details

- **NPI number:** 1740651546
- **Authorized official:** MR. ZACKERY WHEELER SW (CEO)
- **Authorized official phone:** (415) 240-3100

## Contact information

- **Practice address:** 800 CORPORATE DR, SUITE 301, STAFFORD, VA 22554-4889
- **Practice address phone:** (415) 240-3100
- **Mailing address:** PO BOX 1042, DUMFRIES, VA 22026-9042
- **Mailing address phone:** (415) 240-3100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 2274 | VA | Yes |

## Other

- **Enumeration date:** 10/19/2015
- **Last updated:** 10/19/2015
