Organization
SUPPORT COORDINATORS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA BYRD (OWNER/OPERATOR)
(804) 222-4946
Entity
Organization
Contact information
Practice address
914 N 35TH ST FL 2, RICHMOND, VA 23223-7602
(804) 873-1583
(804) 222-8492
Mailing address
914 N 35TH ST FL 2, RICHMOND, VA 23223-7602
(804) 222-4946
(804) 222-8492
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
0156636778
VA
171M00000X
Case Manager/Care Coordinator
Primary
0158053741
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156636778
—
VA
05
—
0158053741
—
VA
Enumeration date
02/07/2014
Last updated
02/07/2014
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