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Organization

HATTIE'S WAY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS TRACEY JOHNSON DIRECTOR (VICE PRESIDENT)
(804) 277-4606
Entity
Organization

Contact information

Practice address
12220 CHATTANOOGA PLZ, MIDLOTHIAN, VA 23112-4865
(804) 277-4606
(800) 583-4953
Mailing address
12220 CHATTANOOGA PLZ, MIDLOTHIAN, VA 23112-4865
(804) 277-4606
(800) 583-4953

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0167642211
VA
Enumeration date
08/18/2015
Last updated
08/18/2015
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