Organization
ADVANCE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARGARET STROUD R.N. (ADMINISTRATOR)
(804) 897-9056
Entity
Organization
Contact information
Practice address
575 SOUTHLAKE BLVD, SUITE B, RICHMOND, VA 23236-3095
(804) 897-9056
(804) 897-9058
Mailing address
575 SOUTHLAKE BLVD, SUITE B, RICHMOND, VA 23236-3095
(804) 897-9056
(804) 897-9058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-07395
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
469339
JCAHO
VA
01
—
HCO-07395
HOME CARE LICENSE NUMBER
VA
Enumeration date
12/07/2006
Last updated
12/15/2009
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