Organization
NURSE FACILITATORS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAYLE B BURNETTE RN (VIRGINIA WAIVER SERVICE FACILITATOR)
(434) 728-0478
Entity
Organization
Contact information
Practice address
452 LAKESIDE DR, DANVILLE, VA 24540-1893
(434) 728-0478
(434) 836-2826
Mailing address
452 LAKESIDE DR, DANVILLE, VA 24540-1893
(434) 728-0478
(434) 836-2826
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0001093048
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED
—
VA
Enumeration date
08/15/2008
Last updated
08/15/2008
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