Organization
VIRGINIACARE PHYSICIAN GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENA LOUISE THOMAS (MANAGING MEMBER)
(757) 827-0000
Entity
Organization
Contact information
Practice address
40 HUNT CLUB BLVD, HAMPTON, VA 23666-2274
(757) 827-0000
Mailing address
40 HUNT CLUB BLVD, HAMPTON, VA 23666-2274
(757) 827-0000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ERO2009-422
VA
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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