Organization
CARE ADVANTAGE SKILLED-RICHMOND, LLC
Active
Other names
Care Advantage Skilled
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA MOORE (VP OF OPERATIONS)
(804) 560-5430
Entity
Organization
Contact information
Practice address
10043 MIDLOTHIAN TPKE, 204, RICHMOND, VA 23235
(804) 560-5439
(804) 560-5431
Mailing address
10043 MIDLOTHIAN TPKE FL 2, NORTH CHESTERFIELD, VA 23235-4856
(804) 560-5430
(804) 560-5431
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
VA497735
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VA010138205
—
VA
Enumeration date
11/11/2005
Last updated
04/24/2024
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