Organization
VIVIFY CONSULTANT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA GORDON (PRESIDENT)
(804) 291-7363
Entity
Organization
Contact information
Practice address
10041 POLLEN DR, MECHANICSVILLE, VA 23116-0034
(804) 291-7363
Mailing address
10041 POLLEN DR, MECHANICSVILLE, VA 23116-0034
(804) 291-7363
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
12/19/2024
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