Organization
SRM HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA MIFFIN (PROVIDER)
(804) 939-0092
Entity
Organization
Contact information
Practice address
6037 HARE RD, HENRICO, VA 23231-7921
(804) 939-0092
Mailing address
6037 HARE RD, HENRICO, VA 23231-7921
(804) 939-0092
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
02/23/2022
Last updated
06/17/2024
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