Organization
YANCEY'S FACILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE YANCEY RN (OWNER)
(804) 931-4864
Entity
Organization
Contact information
Practice address
5019 HICKORY RD, SOUTH CHESTERFIELD, VA 23803-1523
(804) 931-4864
(804) 524-0480
Mailing address
5019 HICKORY RD, SOUTH CHESTERFIELD, VA 23803-1523
(804) 931-4864
(804) 524-0480
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164816370
—
VA
Enumeration date
06/30/2015
Last updated
06/30/2015
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