Organization
GET BALANCED 4 LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHARINE SHIRILLA RN (OWNER)
(804) 450-3497
Entity
Organization
Contact information
Practice address
765 NORTHUMBERLAND HWY, CALLAO, VA 22435-0197
(804) 529-5178
(804) 529-5179
Mailing address
PO BOX 71, LIVELY, VA 22507-0071
(804) 450-3497
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
0001064850
VA
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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