Organization
HERITAGE ADULT DAY CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAGIB ELBASHIR (PRESIDENT)
(804) 330-3600
Entity
Organization
Contact information
Practice address
9550 MIDLOTHIAN TPKE, SUITE 106, RICHMOND, VA 23235-4900
(804) 330-3600
(804) 330-3601
Mailing address
PO BOX 28723, RICHMOND, VA 23228-8723
(804) 330-3600
(804) 330-3601
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
C1S0313
VA
Other
Enumeration date
05/06/2009
Last updated
05/08/2009
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