Organization
BLENDED WHOLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOAN WHITE (OWNER)
(804) 704-9931
Entity
Organization
Contact information
Practice address
4219 CAMERON RD, HOPEWELL, VA 23860-1690
(804) 704-9931
Mailing address
11533 BUSY ST STE 207, NORTH CHESTERFIELD, VA 23236-4073
(804) 704-9931
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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