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Organization

TOTAL BUSINESS AND PERSONAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TENECIA RENEE BROWN-SHEARIN (OWNER)
(757) 556-6390
Entity
Organization

Contact information

Practice address
9013 SOUTHAMPTON PKWY, DREWRYVILLE, VA 23844-2109
(757) 556-6390
Mailing address
9013 SOUTHAMPTON PKWY, DREWRYVILLE, VA 23844-2109
(757) 556-6390

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251V00000X
Voluntary or Charitable Agency
251X00000X
Supports Brokerage Agency
253Z00000X
In Home Supportive Care Agency
310400000X
Assisted Living Facility
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
347E00000X
Transportation Broker

Other

Enumeration date
11/28/2012
Last updated
09/30/2015
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