Organization
VIRGINIA CARE PHYSICIAN GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENA THOMAS (OWNER)
(757) 715-3034
Entity
Organization
Contact information
Practice address
1012 GEORGE WASHINGTON HWY N, CHESAPEAKE, VA 23323-3515
(757) 715-3034
Mailing address
1012 GEORGE WASHINGTON HWY N, CHESAPEAKE, VA 23323-3515
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0101-030884
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366766271
NPI
VA
Enumeration date
12/01/2014
Last updated
12/01/2014
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