Organization
TOTAL LIFE CENTER OF SOUTHSIDE VIRGINIA
Active
Other names
TLCSOVA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY MOORE OAKES (EXECUTIVE DIRECTOR)
(434) 321-3569
Entity
Organization
Contact information
Practice address
5963 NAMOZINE RD, CREWE, VA 23930-2734
(817) 879-1048
Mailing address
5963 NAMOZINE RD, CREWE, VA 23930-2734
(817) 879-1048
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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