Organization
REACH FOR SENIORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA CROCKER (OWNER/OPERATOR)
(757) 653-4616
Entity
Organization
Contact information
Practice address
30092 BERLIN DORY RD, SEDLEY, VA 23878-2205
(757) 653-4616
Mailing address
30092 BERLIN DORY RD, SEDLEY, VA 23878-2205
(757) 653-4616
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
S3703776
VA
Other
Enumeration date
03/12/2016
Last updated
03/12/2016
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