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Organization

T.S. DATA LLC

Active
Other names
Family First Management Care
Organization subpart
No

Provider details

NPI number
Authorized official
TREMYLE ROGERS (CARE COORDINATOR)
(757) 393-1519
Entity
Organization

Contact information

Practice address
ONE COLUMBUS CENTER STE #26, VIRGINIA BEACH, VA 23462
(757) 416-5001
(877) 839-8853
Mailing address
1425 BATTLEFIELD BLVD BOX #3112, CHESAPEAKE, VA 23327-3112
(757) 416-5001
(877) 839-8853

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
017
VA
251S00000X
Community/Behavioral Health Agency
017
VA
310500000X
Mental Illness Intermediate Care Facility
2014257663-R
VA
311ZA0620X
Adult Care Home Facility
2014257663-R
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0169290183
VA
05
0170389826
VA
05
0171535872
VA
Enumeration date
10/24/2014
Last updated
08/16/2018
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