Organization
IHEART SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHELLE L DAVIS HS-BCP (OWNER/ADMINISTRATOR)
(540) 300-1310
Entity
Organization
Contact information
Practice address
2107 JEFFERSON DAVIS HWY, STAFFORD, VA 22554-7225
(540) 300-1310
Mailing address
236 DOC STONE RD, STAFFORD, VA 22556-4519
(540) 300-1830
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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