Organization
COMPANIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON MICHAEL BRAXTON (OWNER)
(804) 273-0579
Entity
Organization
Contact information
Practice address
9300 GILDENFIELD CT, HENRICO, VA 23294-5621
(804) 273-0579
(804) 346-3500
Mailing address
9300 GILDENFIELD CT, HENRICO, VA 23294-5621
(804) 273-0579
(804) 346-3500
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
B09159000
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BRAX1913
—
VA
Enumeration date
06/08/2009
Last updated
06/08/2009
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