Individual
VIVIAN O ADDOTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 BOWDEN RD, HENRICO, VA 23229-5401
(804) 986-9747
Mailing address
9702 GAYTON RD STE 209, HENRICO, VA 23238-4907
(804) 416-5056
(804) 416-5056
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0707695901
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0707695901
—
VA
Enumeration date
09/06/2018
Last updated
09/06/2018
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